Individual
DR. JOHN A LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4200 18TH ST, SUITE 104, SAN FRANCISCO, CA 94114-2470
(415) 252-7522
(415) 252-7522
Mailing address
4200 18TH ST, SUITE 104, SAN FRANCISCO, CA 94114-2470
(415) 252-7522
(415) 252-7522
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 20276
CA
103TC0700X
Clinical Psychologist
PSY 20276
CA
103TF0200X
Forensic Psychologist
PSY 20276
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY 20276
STATE LICENSE
CA
Enumeration date
09/28/2006
Last updated
05/03/2013
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