Provider Demographics
NPI:1487697231
Name:LANGMAN, MADELEINE CHARNA (PHD)
Entity type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:CHARNA
Last Name:LANGMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 S 25TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6204
Mailing Address - Country:US
Mailing Address - Phone:610-740-9449
Mailing Address - Fax:
Practice Address - Street 1:825 N CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-3437
Practice Address - Country:US
Practice Address - Phone:610-351-3191
Practice Address - Fax:610-351-7392
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015168103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA083930Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER