NPI 1124247226

Kelly L Lange, PHD

Practitioner Clinical Neuropsychologist San Diego, CA

Practice location

Address: 9606 Tierra Grande St Suite 107, San Diego, CA 92126-6501
Phone: (858) 693-3113

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY21401 (CA)

Other Clinical Neuropsychologist providers in California →

Registry record

NPI: 1124247226
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.