Organization
KIRSTEN S. LANGLEY, PSY.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRSTEN SENICA LANGLEY PSY.D. (PRESIDENT/ CLINICAL PSYCHOLOGIST)
(773) 480-1866
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE, #1318, CHICAGO, IL 60602-3402
(312) 718-3336
Mailing address
1201 W ADAMS ST, UNIT 909, CHICAGO, IL 60607-2867
(773) 480-1866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007807
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407087968
NPI
IL
Enumeration date
08/17/2016
Last updated
08/17/2016
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