Provider Demographics
NPI:1902390545
Name:LANGER, ROBERT S (EDD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:LANGER
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:S
Other - Last Name:LANGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 LARKSPUR WAY APT 3
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-4023
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 LARKSPUR WAY APT 3
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-4023
Practice Address - Country:US
Practice Address - Phone:617-367-6239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2831103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist