Provider Demographics
NPI:1689706509
Name:LANGLEY, SUMMER JAY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:JAY
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:SOLEDAD
Mailing Address - State:CA
Mailing Address - Zip Code:93960-0686
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:US. 101
Practice Address - Street 2:
Practice Address - City:SOLDEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960-9002
Practice Address - Country:US
Practice Address - Phone:831-678-3951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31828103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical