Individual
DR. SUSAN ARNOLD LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
9500 RAY WHITE RD, 200, FORT WORTH, TX 76244-9104
(817) 745-4612
(817) 479-7313
Mailing address
9500 RAY WHITE RD, STE 200, FORT WORTH, TX 76244-9104
(817) 745-4612
(817) 479-7313
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-3082
TX
Other
Enumeration date
08/25/2006
Last updated
04/06/2010
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