Provider Demographics
NPI:1528154374
Name:LANGER, FRANK W (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:W
Last Name:LANGER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 US HIGHWAY 31
Mailing Address - Street 2:STE. C
Mailing Address - City:BEULAH
Mailing Address - State:MI
Mailing Address - Zip Code:49617-9701
Mailing Address - Country:US
Mailing Address - Phone:231-882-5514
Mailing Address - Fax:231-882-5517
Practice Address - Street 1:525 S. UNION ST.
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684
Practice Address - Country:US
Practice Address - Phone:231-946-9575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013005103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0M36290Medicare ID - Type Unspecified