DR. Stephen M Lange, PHD

NPI #1255380945 in Lawton, Oklahoma

Provider Information

NPI Number: 1255380945
Entity Type: Individual
Name: DR. Stephen M Lange, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: May 9, 2006
Last Updated: Dec 8, 2016

Practice Location

Address: LAWTON CORRECTIONAL FACILITY
Address 2: 8607 SE FLOWERMOUND ROAD
City: Lawton
State: Oklahoma
ZIP Code: 73501
Phone: (580) 280-7128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist	103T00000X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Clinical — Clinical	103TC0700X	Primary
Psychologist - Health Service — Health Service	103TH0100X
Psychologist - School — School	103TS0200X

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