Provider Demographics
NPI:1417206426
Name:LANG, MONICA DUNLEVY
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:DUNLEVY
Last Name:LANG
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 1:10658 ALLEGHANY RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:14040-9743
Mailing Address - Country:US
Mailing Address - Phone:585-356-1281
Mailing Address - Fax:
Practice Address - Street 1:3314 BUFFALO ST
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:NY
Practice Address - Zip Code:14005-9701
Practice Address - Country:US
Practice Address - Phone:585-591-1551
Practice Address - Fax:585-591-4713
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist