DR. Kelly L Lange, PH.D.
NPI #1124247226 in San Diego, California
Provider Information
- NPI Number
- 1124247226
- Entity Type
- Individual
- Name
- DR. Kelly L Lange, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinical Neuropsychologist
- Credential
- PH.D.
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9606 TIERRA GRANDE ST
- Address 2
- SUITE 107
- City
- San Diego
- State
- California
- ZIP Code
- 92126-6501
- Phone
- (858) 693-3113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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