KELLY L. LANGE PSYCHOLOGY, A PROFESSIONAL CORPORATION
Social Work at Tierra Grande St, San Diego, CA

License number
California 21401
Category
Social Work
Type
Clinical Neuropsychologist
Owner
Name: DR. KELLY L. LANGE PH.D.
Title: CLINICAL NEUROPSYCHOLOGIST
Phone: (858) 218-4601
Address
Address
9606 Tierra Grande St SUITE 107, San Diego, CA 92126
National Provider ID: 1235337528
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KELLY L. LANGE PSYCHOLOGY, A PROFESSIONAL CORPORATION at bizstanding.com

KELLY L. LANGE PSYCHOLOGY, A PROFESSIONAL CORPORATION

San Diego, CA

Status:
Inactive
Registration:
May 2, 2007
Addresses:
9606 Teirra Grande St STE 107, San Diego, CA 92126 (Physical)
9606 Tierra Grande St, San Diego, CA 92126
State ID:
C2990558
Business type:
Articles of Incorporation
President:
Kelly L. Lange President, inactive
Agent:
Kelly L Lange,San Diego, CA 92126 (Physical)

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