Provider Demographics
NPI:1043450661
Name:LANGNER, RUCHIE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RUCHIE
Middle Name:
Last Name:LANGNER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:RACHELLE
Other - Middle Name:
Other - Last Name:LANGNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3465 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-5234
Mailing Address - Country:US
Mailing Address - Phone:718-338-0537
Mailing Address - Fax:718-338-0713
Practice Address - Street 1:3465 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-5234
Practice Address - Country:US
Practice Address - Phone:718-338-0537
Practice Address - Fax:718-338-0713
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-22
Last Update Date:2009-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009535-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist