Individual
ERANIA MARIE MARTIN-LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
13329 ARBOR PARK LN, MORENO VALLEY, CA 92553-6916
(951) 489-7971
Mailing address
13329 ARBOR PARK LN, MORENO VALLEY, CA 92553-6916
(951) 489-7971
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2823545
DRIVERS LICENSE
CA
05
—
C2823545
—
CA
Enumeration date
08/10/2020
Last updated
08/10/2020
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