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DR. STEPHEN M LANGE PHD

Clinical Neuropsychologist

Lawton, Oklahoma

Provider NPI: 1255380945

Provider Information:
DR. STEPHEN M LANGE PHD
Gender: M
Sole Proprietor


Practice Location:
LAWTON CORRECTIONAL FACILITY 8607 SE FLOWERMOUND ROAD LAWTON, OK 73501 US
Tel: 580-280-7128  Fax: 405-716-4810

Business Mailing Address:
LAWTON CORRECTIONAL FACILITY 8607 SE FLOWERMOUND ROAD LAWTON, OK 73501 US
Tel: 580-280-7128  Fax: 405-716-4810

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
PAPS008789L
N103T00000XBehavioral Health & Social Service Providers
Psychologist
PAPS008789L
N103TA0400XBehavioral Health & Social Service Providers
Psychologist
OK1208
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
PAPS008789L
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
OK1208
N103TH0100XBehavioral Health & Social Service Providers
Psychologist
OK1208
N103TS0200XBehavioral Health & Social Service Providers
Psychologist
OK1208

Other Provider Identifiers:

IssuerNumberStateType
UNITED BEHAVIORAL HEALTH112460809PA01
CAPITAL BLUE CROSS50011084PA01
HIGHMARK BLUE SHIELD1501224PA01
PACIFIC BEHAVIORAL HC550010003163PA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS OK - Page 1



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