Provider Demographics
NPI:1467508986
Name:LANGFORD, WILLIAM III (MA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:LANGFORD
Suffix:III
Gender:M
Credentials:MA
Other - Prefix:MR
Other - First Name:WILLIAM
Other - Middle Name:
Other - Last Name:LANGFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:5979 VINELAND RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7800
Mailing Address - Country:US
Mailing Address - Phone:407-351-1010
Mailing Address - Fax:407-351-5170
Practice Address - Street 1:5979 VINELAND RD
Practice Address - Street 2:SUITE 210
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7800
Practice Address - Country:US
Practice Address - Phone:407-351-1010
Practice Address - Fax:407-351-5170
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT0959106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist