Individual
DR. ROBIN ELENA LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
164 S 900 E, SALT LAKE CITY, UT 84102-4103
(801) 581-6228
Mailing address
164 S 900 E, SALT LAKE CITY, UT 84102-4103
(801) 581-6228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8456972-2501
UT
Other
Enumeration date
08/06/2008
Last updated
09/10/2013
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