Individual
DR. JILL LANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4202 E FOWLER AVE, SVC 2124, TAMPA, FL 33620-6970
(813) 974-9255
(813) 974-5089
Mailing address
213 DRUID HILLS RD, TEMPLE TERRACE, FL 33617-4124
(813) 407-4140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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