Provider Demographics
NPI:1497310577
Name:LANG, STEPHANIE CHRISTINE (PHD, LPC, LCDC)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:CHRISTINE
Last Name:LANG
Suffix:
Gender:F
Credentials:PHD, LPC, LCDC
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:CHRISTINE
Other - Last Name:LANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MESTYANEK (MAIDEN)
Mailing Address - Street 1:1114 SUNDIAL DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-4436
Mailing Address - Country:US
Mailing Address - Phone:713-614-5193
Mailing Address - Fax:
Practice Address - Street 1:1114 SUNDIAL DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-4436
Practice Address - Country:US
Practice Address - Phone:972-325-1802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-05
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional