Basic Information
| Provider Information | |||||||||
| NPI: | 1053687731 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LANGLEY | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 458 OLD STREET RD | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | PETERBOROUGH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 034581265 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6039244690 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 458 OLD STREET RD | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | PETERBOROUGH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 034581265 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6039244690 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2012 | ||||||||
| LastUpdateDate: | 11/09/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 1602 | NH | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.