Individual
DR. TERA JAMES LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1190 FORTUNE BLVD, SHILOH, IL 62269-7358
(314) 286-6988
Mailing address
1001 LUNA CIR NW, ALBUQUERQUE, NM 87102-1973
(505) 266-0388
(866) 318-1008
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1357
NM
103TC0700X
Clinical Psychologist
7811
FL
Other
Enumeration date
05/22/2007
Last updated
04/11/2024
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