Provider Demographics
NPI:1497910822
Name:LANGFORD, ANGELA J (AUD- CCC A)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:J
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:AUD- CCC A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 FARAON ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3512
Mailing Address - Country:US
Mailing Address - Phone:816-671-4840
Mailing Address - Fax:816-671-4845
Practice Address - Street 1:5301 FARAON ST
Practice Address - Street 2:SUITE 160
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3512
Practice Address - Country:US
Practice Address - Phone:816-671-4840
Practice Address - Fax:816-671-4845
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01705231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist