Provider Demographics
NPI:1336561976
Name:LANGER, SALLY HEIN (SLP)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:HEIN
Last Name:LANGER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SALLY
Other - Middle Name:LEE
Other - Last Name:HEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:7 CARNEGIE PLZ
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1000
Mailing Address - Country:US
Mailing Address - Phone:877-407-3422
Mailing Address - Fax:877-407-4329
Practice Address - Street 1:1006 BANKTON CIR
Practice Address - Street 2:BLDG. B
Practice Address - City:HANAHAN
Practice Address - State:SC
Practice Address - Zip Code:29410-2957
Practice Address - Country:US
Practice Address - Phone:877-407-3422
Practice Address - Fax:877-407-4329
Is Sole Proprietor?:No
Enumeration Date:2014-01-16
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3725235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist