MEDICARE: MRS. CAROL S LANG EDS LMFT LPC

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	101YP2500X	Professional Counselor	37PC00248300	NJ
2	106H00000X	Marriage & Family Therapist	37F100145000	NJ

General Provider Information

NPI Number	:	1477528446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROL S LANG EDS LMFT LPC

Provider Business Mailing Address
First Line	:	488 N GLASSBORO RD
Second Line	:	STE 204
City	:	WOODBURY HEIGHTS
State	:	NJ
Zip	:	08097-1400
Country	:	US
Telephone Number	:	856-845-5114
Fax Number	:	856-582-8849

Provider Business Practice Location Address
First Line	:	488 N GLASSBORO RD
Second Line	:	STE 204
City	:	WOODBURY HEIGHTS
State	:	NJ
Zip	:	08097-1400
Country	:	US
Telephone Number	:	856-845-5114
Fax Number	:	856-582-8849

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	09/11/2025

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