Organization
PSYCHOLOGIA-TX, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M. LANGE PH.D. (PRESIDENT)
(979) 541-1160
Entity
Organization
Contact information
Practice address
1 PORTIFINO PLZ # H-14, CLEAR LAKE SHORES, TX 77565-2733
(979) 541-1160
(979) 541-1161
Mailing address
PO BOX 336, KEMAH, TX 77565-0336
(979) 541-1160
(979) 541-1161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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