Provider Demographics
NPI:1134656432
Name:LANG, MONICA D (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:D
Last Name:LANG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23055 SHERMAN WAY # 4264
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-9998
Mailing Address - Country:US
Mailing Address - Phone:818-613-7229
Mailing Address - Fax:818-884-0756
Practice Address - Street 1:23055 SHERMAN WAY # 4264
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2000
Practice Address - Country:US
Practice Address - Phone:818-613-7229
Practice Address - Fax:818-884-0756
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT44712106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist