Provider Demographics
NPI:1194064873
Name:LANGFORD, DAVID (LMFT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:LANGFORD
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 REGENT ST
Mailing Address - Street 2:SUITE C & D
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53726-5357
Mailing Address - Country:US
Mailing Address - Phone:608-729-8611
Mailing Address - Fax:
Practice Address - Street 1:2203 REGENT ST
Practice Address - Street 2:SUITE C & D
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53726-5357
Practice Address - Country:US
Practice Address - Phone:608-729-8611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI994-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist