Kelly L Lange in San Diego - Clinical Neuropsychologist
Kelly L Lange - NPI 1124247226
Kelly L Lange is a Clinical Neuropsychologist in San Diego, California. Kelly L Lange practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Kelly L Lange is 1124247226. The last update date is 2007-07-08.
Kelly L Lange's current location address is 9606 Tierra Grande St, San Diego, California. You can contact this provider via phone number 8586933113. The mailing address for Kelly L Lange is 9606 Tierra Grande St, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly L Lange |
|---|---|
| Address | 9606 Tierra Grande St, San Diego, California |
| Phone Number | 8586933113 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124247226 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9606 Tierra Grande St |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921266501 |
| Phone Number | 8586933113 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY21401 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique identifier code issued to Kelly L Lange by the Centers for Medicare & Medicaid Services?
The Kelly L Lange has been assigned the NPI (National Provider Identifier) 1124247226. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelly L Lange's physical address?
The Kelly L Lange is physically located at 9606 Tierra Grande St, in the city of San Diego, CA, with the postal code 921266501.
What is Kelly L Lange's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly L Lange is Clinical Neuropsychologist, and the taxonomy classification code that categorizes this area of expertise is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124247226 to Kelly L Lange?
The Kelly L Lange received its 1124247226 assignment from the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the information related to Kelly L Lange most recently updated or refreshed?
The details pertaining to the Kelly L Lange, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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