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Contact Information

MARY J LANG, PHD, ABPB, BCBA
588 N GLASSELL ST
ORANGE, CA92867-6748
 Phone: 714-288-4200
 Fax: 714-288-4204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neuropsychologist

103G00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY J LANG · (Female)

NPI Number 1083881148
Status Active
Credentials PHD, ABPB, BCBA
Entity Individual
Enumeration date 05/08/2008
Last updated 05/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 12076
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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