Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 35SI00324800 | NJ |
N | 103G00000X | Clinical Psychologist | 35SI00324800 | NJ |
N | 103TC0700X | Clinical Psychologist | 35SI00324800 | NJ |
NPI | 1245430545 |
---|---|
Provider Name | Dr. James William Langenbucher |
First Address | Piscataway, NJ 08855-0969 |
Second Address | Piscataway, NJ 08854-8001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 24/07/2007 |