Provider Demographics
NPI:1851675250
Name:LANGAN, SUSAN S
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:S
Last Name:LANGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 WOODLEY RD
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-3741
Mailing Address - Country:US
Mailing Address - Phone:847-441-5798
Mailing Address - Fax:847-441-5894
Practice Address - Street 1:306 WOODLEY RD
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-3741
Practice Address - Country:US
Practice Address - Phone:847-441-5798
Practice Address - Fax:847-441-5894
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor