Individual
DR. SHIRLEY JO LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7100 N HIGH ST STE 304, WORTHINGTON, OH 43085-2316
(614) 725-1957
(614) 846-1059
Mailing address
7100 N HIGH ST STE 304, WORTHINGTON, OH 43085-2316
(614) 725-1957
(614) 846-1059
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4293
OH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4293
OH
103TC0700X
Clinical Psychologist
Primary
4293
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0840648
—
OH
Enumeration date
02/13/2007
Last updated
10/21/2020
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