Lange, Adrianne Elizabeth

Lange, Adrianne Elizabeth is an individual health care provider with primary practice located at 1190 E Broadway , Louisville KY 40204-1712. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lange, Adrianne Elizabeth can be contacted via phone (502) 309-2408.

Contact Information

Primary practice address
1190 E Broadway Louisville KY 40204-1712
Phone: (502) 309-2408
Fax: (502) 771-4283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 242609 Kentucky

Profile Details

NPI number 1457671232
LBN Legal business name Lange, Adrianne Elizabeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2010
Last updated Apr 10th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457671232 NPPES
Kentucky Other P01887352 RR MEDICARE
Kentucky MEDICAID 7100482680 RR MEDICARE
Kentucky MEDICAID 300006191 RR MEDICARE
Kentucky Other K249650 RR MEDICARE

Popular Providers