Lange, Stephen M
Lange, Stephen M is an sole proprietor health care provider with primary practice located at Lawton Correctional Facility 8607 Se Flowermound Road, Lawton OK 73501. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lange, Stephen M can be contacted via phone (580) 280-7128.Contact Information
Primary practice address
Lawton Correctional Facility 8607 Se Flowermound Road
Lawton OK 73501
Phone: (580) 280-7128
Fax: (405) 716-4810
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PS008789L | Pennsylvania |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PS008789L | Pennsylvania |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS008789L | Pennsylvania |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 1208 | Oklahoma |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1208 | Oklahoma |
Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 1208 | Oklahoma |
Behavioral Health & Social Service Providers / School | 103TS0200X | 1208 | Oklahoma |
Profile Details
NPI number | 1255380945 |
---|---|
LBN Legal business name | Lange, Stephen M |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 9th, 2006 |
Last updated | Dec 8th, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255380945 | NPPES |
Pennsylvania | Other | 112460809 | UNITED BEHAVIORAL HEALTH |
Pennsylvania | Other | 1501224 | UNITED BEHAVIORAL HEALTH |
Pennsylvania | Other | 550010003163 | UNITED BEHAVIORAL HEALTH |
Pennsylvania | Other | 50011084 | UNITED BEHAVIORAL HEALTH |
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