Individual
TANYA LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34330 VAN BORN RD, WAYNE, MI 48184-2472
(734) 721-0740
Mailing address
33128 LYNX ST, WESTLAND, MI 48185-9442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
710100606
MI
Other
Enumeration date
06/23/2013
Last updated
06/23/2013
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