Lange, Carol Gay

Lange, Carol Gay is an sole proprietor health care provider with primary practice located at 821 Raymond Ave 440, Saint Paul MN 55114-1503. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Lange, Carol Gay can be contacted via phone (651) 642-9317.

Contact Information

Primary practice address
821 Raymond Ave 440 Saint Paul MN 55114-1503
Phone: (651) 642-9317
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP1530 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0689 Minnesota

Profile Details

NPI number 1821128711
LBN Legal business name Lange, Carol Gay
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 18 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 1821128711 NPPES
Minnesota Other 28B54LA BLUE CROSS BLUE SHIELD
Minnesota Other HP15534 BLUE CROSS BLUE SHIELD

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