Kelly Marie Lange is a Clinical in Plymouth, Michigan. Kelly Marie Lange practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Marie Lange is 1568644292. The last update date is 2016-08-16.
Kelly Marie Lange's current location address is 42189 Ann Arbor Rd E, Plymouth, Michigan. You can contact this provider via phone number 7347541172. The mailing address for Kelly Marie Lange is 42189 Ann Arbor Rd E, Plymouth, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Marie Lange |
|---|---|
| Address | 42189 Ann Arbor Rd E, Plymouth, Michigan |
| Phone Number | 7347541172 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A, L.L.P |
NPI Number Detail
| NPI Number | 1568644292 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2016-08-16 |
Provider Mailing Address Detail
| Address | 42189 Ann Arbor Rd E |
|---|---|
| City | Plymouth |
| State | Michigan (MI) |
| Post Code | 481704370 |
| Phone Number | 7347541172 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | L1021506 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly Marie Lange by the Centers for Medicare & Medicaid Services?
The Kelly Marie Lange has been assigned the NPI (National Provider Identifier) 1568644292 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kelly Marie Lange's physical address?
The Kelly Marie Lange is physically located at 42189 Ann Arbor Rd E, in the city of Plymouth, MI, with the postal code 481704370.
What is Kelly Marie Lange's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Marie Lange is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When did Kelly Marie Lange receive its 1568644292 assignment?
The Kelly Marie Lange was assigned its 1568644292 on 2007-12-05, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Kelly Marie Lange, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly Marie Lange, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-08-16.