Individual
CHRISTINA LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5413 W KINGSHIGHWAY, PARAGOULD, AR 72450-3368
(870) 215-4410
Mailing address
13233 HIGHWAY 135 N, PARAGOULD, AR 72450-8595
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P9013
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214719721
—
AR
Enumeration date
08/26/2016
Last updated
08/26/2016
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