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Contact Information

LESLIE LANGE, PhD
604 MONTEREY AVE
PELHAM, NY10803-2514
 Phone: 818-657-9487
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LESLIE LANGE · (Female)

NPI # 1497207211
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/27/2016
Last updated 03/08/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY12673
  • CT License # 003655
  • NY License # 022683
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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