Provider Demographics
NPI:1972200889
Name:LANG-LINDSEY, KATINA (PHD)
Entity type:Individual
Prefix:DR
First Name:KATINA
Middle Name:
Last Name:LANG-LINDSEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 LEGACY TRACE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-4131
Mailing Address - Country:US
Mailing Address - Phone:601-502-4249
Mailing Address - Fax:
Practice Address - Street 1:157 LEGACY TRACE DR
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4131
Practice Address - Country:US
Practice Address - Phone:601-502-4249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM8116104100000X
AL4410G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker