Kelly M. Lange, M.a, L.L.P

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

KELLY M. LANGE, M.A, L.L.P

Practice address

496 W Ann Arbor TRL Ste 106
Plymouth, MI 48170-6262

Phone

(734) 754-1172

NPI assigned

Oct 3, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Marie Lange, M.A., L.L.P.

Title

Clinician

Phone

(734) 754-1172

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1194366807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41422 STRAWBERRY CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885244",
            "telephone_number": "734-754-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 W ANN ARBOR TRL STE 106",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706262",
            "telephone_number": "734-754-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY M. LANGE, M.A, L.L.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "734-754-1172",
        "authorized_official_credential": "M.A., L.L.P."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Nicole Keiser, LPC
• David Keller
• Elizabeth Janine Keller, LLPC
• Ilenya Kellogg
• Jessica Amber Kellum, DPT,ATC
• Angela Kelly
• Deshantra Kelly
• Donna Kelly
• Francis Xavier Kelly, D.D.S.
• James M Kelly, DMD

• Psychologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.