Provider Demographics
NPI:1972650711
Name:LANGAN, JAMES SHAWN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SHAWN
Last Name:LANGAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
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Mailing Address - Street 1:2500 GRUBB RD
Mailing Address - Street 2:STE 210
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4799
Mailing Address - Country:US
Mailing Address - Phone:302-984-2885
Mailing Address - Fax:302-450-7120
Practice Address - Street 1:2500 GRUBB RD
Practice Address - Street 2:STE 210
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4799
Practice Address - Country:US
Practice Address - Phone:302-984-2885
Practice Address - Fax:302-450-7120
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000300103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE735277Medicare ID - Type UnspecifiedPSYCHOLOGIST