Individual
MS. MICHA MORGAN LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3100 APACHE DR, JONESBORO, AR 72401-7404
(870) 336-0238
(870) 336-0239
Mailing address
3100 APACHE DR, JONESBORO, AR 72401-7404
(870) 336-0238
(870) 336-0239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P7961
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158949721
—
AR
01
—
5A060
SPEECH THERAPY
AR
Enumeration date
03/24/2007
Last updated
08/31/2020
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