Provider Demographics
NPI:1295861409
Name:LANGER-GOULD, ANNETTE MAGDALENE (MD)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:MAGDALENE
Last Name:LANGER-GOULD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:MAGDALENE
Other - Last Name:LANGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:393 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91188-0001
Mailing Address - Country:US
Mailing Address - Phone:650-723-2822
Mailing Address - Fax:650-725-6951
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:HRP REDWOOD BUILDING RM T202 MC 5405
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-2822
Practice Address - Fax:650-725-6951
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA602192084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology