Individual
DR. MARK A LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
51 LOCUST ST, NORTHAMPTON, MA 01060-2045
(413) 585-8608
Mailing address
51 LOCUST ST, NORTHAMPTON, MA 01060-2045
(413) 585-8608
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3686
MA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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