Provider Demographics
NPI:1568609402
Name:LANGNER, ELIZABETH CORA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:CORA
Last Name:LANGNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ELISHEVA
Other - Middle Name:
Other - Last Name:LANGNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:25 ROBERT PITT DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3365
Mailing Address - Country:US
Mailing Address - Phone:845-425-5252
Mailing Address - Fax:
Practice Address - Street 1:25 ROBERT PITT DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3365
Practice Address - Country:US
Practice Address - Phone:845-425-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103T00000XBehavioral Health & Social Service ProvidersPsychologist