Individual
BRENT ALAN LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7700 FISH POND RD, WACO, TX 76710-1031
(254) 761-4444
(254) 761-4441
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38710
TX
103TA0400X
Addiction (Substance Use Disorder) Psychologist
38710
TX
103TB0200X
Cognitive & Behavioral Psychologist
38710
TX
103TC0700X
Clinical Psychologist
38710
TX
103TH0004X
Health Psychologist
38710
TX
Other
Enumeration date
06/02/2021
Last updated
12/28/2023
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