Provider Demographics
NPI:1598866733
Name:LANGER, DANIEL RICHARD (EDD)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:RICHARD
Last Name:LANGER
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S CLEVELAND MASSILLON RD STE 1
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-9204
Mailing Address - Country:US
Mailing Address - Phone:330-754-4844
Mailing Address - Fax:833-974-2062
Practice Address - Street 1:1000 S CLEVELAND MASSILLON RD STE 1
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-9204
Practice Address - Country:US
Practice Address - Phone:330-754-4844
Practice Address - Fax:833-974-2062
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH041051101YA0400X
OHF052106H00000X
OHP.5977103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0091515Medicaid
OH000000346920OtherANTHEM
OH000000346920OtherANTHEM