De Lange, David Leroy
De Lange, David Leroy is an sole proprietor health care provider with primary practice located at 4519 Admiralty Way Suite 200, Marina Del Rey CA 90292-5441. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. De Lange, David Leroy can be contacted via phone (310) 822-8838.Contact Information
Primary practice address
4519 Admiralty Way Suite 200
Marina Del Rey CA 90292-5441
Phone: (310) 822-8838
Fax: (310) 577-6636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT27767 | California |
Profile Details
| NPI number | 1548399355 |
|---|---|
| LBN Legal business name | De Lange, David Leroy |
| Credentials | MFT, PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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