Provider Demographics
NPI:1922034248
Name:LANG & LANG, INC.
Entity Type:Organization
Organization Name:LANG & LANG, INC.
Other - Org Name:LANG & LANG, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:SILLS
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:970-626-3432
Mailing Address - Street 1:227 MARIE ST
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:CO
Mailing Address - Zip Code:81432-9006
Mailing Address - Country:US
Mailing Address - Phone:970-626-3432
Mailing Address - Fax:970-626-3432
Practice Address - Street 1:409 N 2ND ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-3720
Practice Address - Country:US
Practice Address - Phone:970-249-9067
Practice Address - Fax:970-626-3432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COE0506Medicare PIN