Provider Demographics
NPI:1982977195
Name:LANG, KERRY ANN (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:KERRY
Middle Name:ANN
Last Name:LANG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 MAYFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-1932
Mailing Address - Country:US
Mailing Address - Phone:781-635-2962
Mailing Address - Fax:
Practice Address - Street 1:3 APPLE WAY APT 3101
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-3172
Practice Address - Country:US
Practice Address - Phone:781-635-2962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-18
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor