Lange, Carol Gay
Lange, Carol Gay is an sole proprietor health care provider with primary practice located at 821 Raymond Ave 440, Saint Paul MN 55114-1503. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Lange, Carol Gay can be contacted via phone (651) 642-9317.Contact Information
Primary practice address
821 Raymond Ave 440
Saint Paul MN 55114-1503
Phone: (651) 642-9317
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP1530 | Minnesota |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0689 | Minnesota |
Profile Details
| NPI number | 1821128711 |
|---|---|
| LBN Legal business name | Lange, Carol Gay |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821128711 | NPPES |
| Minnesota | Other | 28B54LA | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | HP15534 | BLUE CROSS BLUE SHIELD |
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