Individual
JENNIFER LANGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
640 S SAN VICENTE BLVD STE 594, LOS ANGELES, CA 90048-4661
(310) 275-2111
Mailing address
9663 SANTA MONICA BLVD # 227, BEVERLY HILLS, CA 90210-4303
(310) 275-2111
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
RP200
CA
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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