Doctor Name: | MRS. CAROL S LANG |
NPI Number: | 1477528446 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDS LMFT LPC |
License Number: | 37PC00248300 |
Business Practice Address: | 488 N Glassboro Rd Ste 204 Woodbury Heights, NJ - 080971400 |
Business Phone Number: | 8568455114 |
Business Fax Number: | 8565828849 |
Mailing Address: | 488 N Glassboro Rd, Ste 204 WOODBURY HEIGHTS |
State: | NJ |
Postal Code: | 080971400 |
Phone Number: | 8568455114 |
Fax Number: | 8565828849 |
NPI Enumeration Date: | 02/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00248300 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |