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NPI Code Detail

MEDICARE: MISS ERIN ELIZABETH LANGLEY LPC

MEDICARE: MISS ERIN ELIZABETH LANGLEY 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
1101YP2500XProfessional Counselor2007019167MO

General Provider Information

NPI Number : 1588859185
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ERIN ELIZABETH LANGLEY LPC
Provider Business Mailing Address
First Line : 1322 S CAMPBELL AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-1445
Country : US
Telephone Number : 417-865-8943
Fax Number : 417-831-6839
Provider Business Practice Location Address
First Line : 1322 S CAMPBELL AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-1445
Country : US
Telephone Number : 417-865-8943
Fax Number : 417-831-6839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2007
Last Update Date : 09/07/2007

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