Organization
SUSAN ARNOLD LANGE, PSYCHOLOGIST, LPPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ARNOLD LANGE PH,. D. (PSYCHOLOGIST)
(817) 745-4612
Entity
Organization
Contact information
Practice address
9500 RAY WHITE RD, SUITE 200, FORT WORTH, TX 76244-9104
(817) 745-4612
(817) 745-4611
Mailing address
9500 RAY WHITE RD, SUITE 200, FORT WORTH, TX 76244-9104
(817) 745-4612
(817) 745-4611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2-3082
TX
101YM0800X
Mental Health Counselor
2-3082
TX
101YP2500X
Professional Counselor
2-3082
TX
103T00000X
Psychologist
Primary
2-3082
TX
103TB0200X
Cognitive & Behavioral Psychologist
2-3082
TX
103TH0004X
Health Psychologist
2-3082
TX
103TP2701X
Group Psychotherapy Psychologist
2-3082
TX
106H00000X
Marriage & Family Therapist
2-3082
TX
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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