Provider Demographics
NPI:1619071198
Name:LANGKAU, THOMAS LEE (BSW, FCWP)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:LEE
Last Name:LANGKAU
Suffix:
Gender:M
Credentials:BSW, FCWP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8485 ANSON WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-9387
Mailing Address - Country:US
Mailing Address - Phone:407-629-1599
Mailing Address - Fax:321-397-6099
Practice Address - Street 1:5201 RAYMOND ST
Practice Address - Street 2:C/O VETERANS ADMINISTRATION
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:407-629-1599
Practice Address - Fax:321-397-6099
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional