Provider Demographics
NPI:1942614581
Name:LANGSTON, LAURA L (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:L
Last Name:LANGSTON
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:558 MAPLE AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2100
Mailing Address - Country:US
Mailing Address - Phone:203-489-6993
Mailing Address - Fax:844-640-2887
Practice Address - Street 1:558 MAPLE AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2100
Practice Address - Country:US
Practice Address - Phone:203-489-6993
Practice Address - Fax:844-640-2887
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist