Provider Demographics
NPI:1477528446
Name:LANG, CAROL S (EDS LMFT LPC)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:S
Last Name:LANG
Suffix:
Gender:F
Credentials:EDS LMFT LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 N GLASSBORO RD
Mailing Address - Street 2:STE 204
Mailing Address - City:WOODBURY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08097-1400
Mailing Address - Country:US
Mailing Address - Phone:856-845-5114
Mailing Address - Fax:856-582-8849
Practice Address - Street 1:488 N GLASSBORO RD
Practice Address - Street 2:STE 204
Practice Address - City:WOODBURY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08097-1400
Practice Address - Country:US
Practice Address - Phone:856-845-5114
Practice Address - Fax:856-582-8849
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00248300101YP2500X
NJ37F100145000106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist