Healthcare Provider Details

I. General information

NPI: 1922034248
Provider Name (Legal Business Name): LANG & LANG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 N 2ND ST
MONTROSE CO
81401-3720
US

IV. Provider business mailing address

227 MARIE ST
RIDGWAY CO
81432-9006
US

V. Phone/Fax

Practice location:
  • Phone: 970-249-9067
  • Fax: 970-626-3432
Mailing address:
  • Phone: 970-626-3432
  • Fax: 970-626-3432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ABIGAIL SILLS LANG
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH.D
Phone: 970-626-3432