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Contact Information

MARK W LANGE, MED LMFT LMHC
40 WRIGHT STREET
WING MEMORIAL HOSPITAL GRISWOLD CENTER
PALMER, MA01069
 Phone: 413-284-5285
 Fax: 413-284-5384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MARK W LANGE · (Male)

NPI # 1740215987
Status Active
Credentials MED LMFT LMHC
Entity Individual
Enumeration date 07/12/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MA License # 1185
  • MA License # 4668
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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