MEDICARE: DR. KERRI LIA ENTIN LANGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	52090	CO

General Provider Information

NPI Number	:	1184943920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KERRI LIA ENTIN LANGER M.D.

Provider Business Mailing Address
First Line	:	1360 S CLARKSON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-2235
Country	:	US
Telephone Number	:	303-721-7330
Fax Number	:	720-488-6566

Provider Business Practice Location Address
First Line	:	1360 S CLARKSON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-2235
Country	:	US
Telephone Number	:	303-721-7330
Fax Number	:	720-488-6566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2010
Last Update Date	:	02/02/2026

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