Individual
DANIELLA RENEE LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2883 EXECUTIVE PARK DR STE 102, WESTON, FL 33331-3662
(954) 384-1117
Mailing address
1060 BRICKELL AVE APT 1803, MIAMI, FL 33131-3919
(847) 212-1073
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10782
FL
103TC0700X
Clinical Psychologist
071.010289
IL
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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