Individual provider · Type 1 NPI

Kelly L. Lange, PhD

Clinical Neuropsychologist · San Diego, CA

NPI number 1124247226 Active

Practice location

9606 Tierra Grande St, Suite 107
San Diego, CA 92126-6501

Call (858) 693-3113 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000XPSY21401 (CA)

Clinical Neuropsychologist: 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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About NPI 1124247226

Kelly L. Lange, PhD's National Provider Identifier is 1124247226, issued on Apr 25, 2007. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.