Provider Demographics
NPI:1285867481
Name:LANGER, KAELYN CLAIRE
Entity Type:Individual
Prefix:
First Name:KAELYN
Middle Name:CLAIRE
Last Name:LANGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1595
Mailing Address - Country:US
Mailing Address - Phone:650-367-9610
Mailing Address - Fax:
Practice Address - Street 1:37 CLINTON ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1595
Practice Address - Country:US
Practice Address - Phone:650-367-9610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor