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Individual

DR. STUART F. LANGENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
7300 W MCNAB RD, SUITE 212, TAMARAC, FL 33321-5300
(954) 721-5144
(954) 726-1433
Mailing address
7300 W MCNAB RD, SUITE 212, TAMARAC, FL 33321-5300
(954) 721-5144
(954) 726-1433

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS004
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z 0915
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
01/02/2008
Last updated
01/03/2008
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