Jennifer Lang
Individual provider Active NPI Marriage & Family Therapist · Erial, NJ
NPI 1740906353 · NPPES record last updated Oct 14, 2022
Key facts
- NPI
- 1740906353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 37AC00475500 (NJ)
- Practice address
- 501 Jarvis Rd
Erial, NJ 08081-2169 - Phone
- (856) 232-9703
- Fax
- (856) 232-5267
- NPI assigned
- Oct 14, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00475500 | NJ | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37AC00475500 | NJ | Yes |
Addresses
Primary practice location
501 Jarvis Rd
Erial, NJ 08081-2169
Mailing address
7439 Walnut Ave
Pennsauken, NJ 08109-3076
Phone (609) 280-7184
Other practice location 1
304 Newton Ave
Oaklyn, NJ 08107-1446
Phone (856) 834-5299
Other providers in Erial, NJ
- Tina D Burton
- Meredith Carmichael
- Compassion in Action Productive Healthcare Services
- Claire Divito
- Sonya M Gonzalez-Alvarez
- Khadijah Moore
- Oaks Integrated Care
- Oaks Integrated Care
- Oaks Integrated Care, Inc
- Jennie Pless
All providers in Erial, NJ · Marriage & Family Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.