Mark William Lange, MED LMFT LMHC is a
Marriage & Family Therapist based in Palmer, Massachusetts. Mark William Lange is licensed to practice in Massachusetts (license number 1185) and his current practice location is
40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(413) 284-5285.
NPI number for Mark William Lange is 1740215987 and his current mailing address is 40 Wright Street, Palmer, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740215987.
Healthcare Provider's Profile
Full Name | Mark William Lange |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 40 Wright Street, Palmer, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740215987
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mark William Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740215987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 4668 (Massachusetts) | Primary |
106H00000X | Marriage & Family Therapist | 1185 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark William Lange is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mark William Lange, MED LMFT LMHC 40 Wright Street, Palmer, MA 01069 Ph: (413) 283-7651 | Mark William Lange, MED LMFT LMHC 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069 Ph: (413) 284-5285 |
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