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Individual

DR. LAUREL LYNN LANGHOLZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1930 SAINT ANDREWS CT NE STE D, STE 309, CEDAR RAPIDS, IA 52402-5832
(319) 320-3211
(319) 237-7345
Mailing address
1930 SAINT ANDREWS CT NE STE D, STE 309, CEDAR RAPIDS, IA 52402-5832
(319) 320-3211
(319) 237-7345

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001165
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12259001
MEDICARE PTAN
IA
Enumeration date
12/07/2010
Last updated
09/06/2016
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