Provider Demographics
NPI:1871827881
Name:LANGELIER INC.
Entity type:Organization
Organization Name:LANGELIER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REGIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGELIER
Authorized Official - Suffix:
Authorized Official - Credentials:PSY
Authorized Official - Phone:207-351-5352
Mailing Address - Street 1:PO BOX 7560
Mailing Address - Street 2:
Mailing Address - City:OCEAN PARK
Mailing Address - State:ME
Mailing Address - Zip Code:04063-7560
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 MAIN ST STE 1300
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-3516
Practice Address - Country:US
Practice Address - Phone:207-351-5352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS812103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MELAME1507Medicare UPIN
MELAME1508Medicare UPIN