KELLY L LANGE

SAN DIEGO, CA
NPI1124247226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: CA  PSY21401)
Enumeration Date2007-04-25
Last Update Date2007-07-08
Business Address
Dr. KELLY L LANGE Ph.D.
9606 TIERRA GRANDE ST SUITE 107
SAN DIEGO, CA 92126-6501
Phone number: 858-693-3113
Mailing Address
Dr. KELLY L LANGE Ph.D.
9606 TIERRA GRANDE ST SUITE 107
SAN DIEGO, CA 92126-6501
Phone number: 858-693-3113