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General NPI Number Information
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NPI Number | 1659476638
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Entity Type | Organization
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Legal Business Name | DIANE LANGBERG PHD & MARTHA D LANGBERG ASSOCIATES
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 512 WEST AVENUE
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City | JENKINTOWN
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State | PA
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Zip | 19046
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Country | US
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Telephone | 215-885-1835
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Fax | 215-885-8510
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Provider Business Mailing Address
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Address Line | 512 WEST AVENUE
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City | JENKINTOWN
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State | PA
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Zip | 19046
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Country | US
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Telephone | 215-885-1835
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Fax | 215-885-8510
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Authorized Official
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Title or Position | PSYCHOLOGIST DIRECTOR
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Name | DR. MARTHA DIANE LANGBERG
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Credential | PHD
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Telephone | 215-885-1835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS002729LOWNERDIRECT
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License Number State | PA
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