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Individual

GUDRUN LANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
221 W 82ND ST APT 12A, NEW YORK, NY 10024
(201) 281-6118
Mailing address
221 W 82ND ST APT 12A, NEW YORK, NY 10024-5412
(201) 281-6118

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
013288
NY
103G00000X
Clinical Neuropsychologist
35SI00377700
NJ

Other

Enumeration date
07/19/2006
Last updated
04/24/2019
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