Lange, Kelly L

Lange, Kelly L is an sole proprietor health care provider with primary practice located at 9606 Tierra Grande St Suite 107, San Diego CA 92126-6501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Lange, Kelly L can be contacted via phone (858) 693-3113.

Contact Information

Primary practice address
9606 Tierra Grande St Suite 107 San Diego CA 92126-6501
Phone: (858) 693-3113
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY21401 California

Profile Details

NPI number 1124247226
LBN Legal business name Lange, Kelly L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 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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