Individual
DR. LESLIE LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
604 MONTEREY AVE, PELHAM, NY 10803-2514
(818) 657-9487
Mailing address
604 MONTEREY AVE, PELHAM, NY 10803-2514
(818) 657-9487
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
003655
CT
103TC0700X
Clinical Psychologist
Primary
022683
NY
103TC0700X
Clinical Psychologist
PSY12673
CA
Other
Enumeration date
10/27/2016
Last updated
03/08/2025
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