Individual
JEREMIAH LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5980 S MAIN ST STE 101, CLARKSTON, MI 48346-2377
(248) 625-2970
Mailing address
496 WIMPOLE DR, ROCHESTER HILLS, MI 48309-2152
(248) 854-5720
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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