Blythe Lang
Psychologist, School in Richmond, VA. Individual provider (NPI-1).
NPI number1407375504
StatusActive
Last updated in NPPESSep 11, 2017
Details
- NPI
- 1407375504
- Entity type
- Individual (NPI-1)
- Name
- Blythe Lang
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2017
- Last updated
- Sep 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 0813000833 | VA | Yes |
Practice location
2401 Hartman St Bldg FRichmond, VA 23223-2458
Phone 804-652-3612
Mailing address
2401 Hartman St Bldg FRichmond, VA 23223-2458
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