Individual
ELISA MARLA LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST PHD
Contact information
Practice address
9 ROLLINGVIEW DRIVE, PAOLI, PA 19301
(610) 644-3694
Mailing address
9 ROLLINGVIEW DRIVE, PAOLI, PA 19301
(610) 644-3694
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007505L
PA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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