Provider Demographics
NPI:1821131798
Name:LANGMAN, PETER FABBRI (PHD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:FABBRI
Last Name:LANGMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 N CEDAR CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-3437
Mailing Address - Country:US
Mailing Address - Phone:610-351-3191
Mailing Address - Fax:610-351-9031
Practice Address - Street 1:825 N CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-3437
Practice Address - Country:US
Practice Address - Phone:610-351-3191
Practice Address - Fax:610-351-9031
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015115103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent