Lang, John A

Lang, John A is an sole proprietor health care provider with primary practice located at 4200 18Th St Suite 104, San Francisco CA 94114-2470. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Lang, John A can be contacted via phone (415) 252-7522.

Contact Information

Primary practice address
4200 18Th St Suite 104 San Francisco CA 94114-2470
Phone: (415) 252-7522
Fax: (415) 252-7522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 20276 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY 20276 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY 20276 California

Profile Details

NPI number 1588756704
LBN Legal business name Lang, John A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated May 3rd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588756704 NPPES
California Other PSY 20276 STATE LICENSE

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