Provider Demographics
NPI:1184708208
Name:LANGER, SANDY WILLAN (PHD)
Entity type:Individual
Prefix:DR
First Name:SANDY
Middle Name:WILLAN
Last Name:LANGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 CONGER AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1161
Mailing Address - Country:US
Mailing Address - Phone:330-762-1881
Mailing Address - Fax:
Practice Address - Street 1:141 CONGER AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-1161
Practice Address - Country:US
Practice Address - Phone:330-762-1881
Practice Address - Fax:330-762-1883
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH86600 NBCC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health