Individual
DR. XIAOFANG WANG LANTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., MA, MS, LGMFT
Contact information
Practice address
6203 EXECUTIVE BLVD, NORTH BETHESDA, MD 20852-3906
(240) 222-1529
Mailing address
5113 MINEOLA RD STE 100, COLLEGE PARK, MD 20740-4609
(301) 338-8398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
LGM788
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FQ42-0000
CAREFIRST BCBS
MD
Enumeration date
10/19/2020
Last updated
09/06/2022
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