Individual
CHARYLE LANGELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1015 S BROADWAY, STE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Mailing address
1015 S BROADWAY, STE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
340
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019862
BCBSND
ND
05
—
054517
—
ND
01
—
N19862
RR MEDICARE
ND
Enumeration date
07/11/2006
Last updated
06/10/2008
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