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Dr. Kelly L Lange, PHD
Clinical Neuropsychologist in San Diego, California
NPI 1124247226

Kelly L Lange is a Clinical Neuropsychologist based in San Diego, CA. Kelly L Lange practices in San Diego, CA and has the professional credentials of PHD. The NPI Number for Kelly L Lange is 1124247226 and holds a License No. PSY21401 (California).

The current practice location address for Kelly L Lange is 9606 Tierra Grande St, San Diego, CA and can be reached out via phone at 858-693-3113.

Location: 9606 Tierra Grande St, San Diego, CA, 92126-6501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124247226
Provider Name
Kelly L Lange
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
9606 Tierra Grande St, San Diego, CA, 92126-6501
Phone Number
858-693-3113
Fax Number
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9606 Tierra Grande St
City
San Diego
State
California
Zip
92126-6501
Phone Number
858-693-3113
Fax Number
person
Provider Business Mailing Address Details
Address
9606 Tierra Grande St
City
San Diego
State
California
Zip
92126-6501
Phone Number
858-693-3113
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
PSY21401 (California)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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