Individual
DR. TIFFANY MAE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
501 PRINCE GEORGE STREET, SUITE 307, WILLIAMBURG, VA 23185
(757) 903-2406
Mailing address
300 25TH ST, APT 503, VIRGINIA BEACH, VA 23451
(419) 260-3919
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005526
VA
103TH0004X
Health Psychologist
0810005S26
VA
Other
Enumeration date
07/19/2010
Last updated
01/11/2022
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