Dr Tera James Langston, PHD is a
Psychologist - Clinical based in Shiloh, Illinois. Dr Tera James Langston is licensed to practice in New Mexico (license number 1357) and her current practice location is
1190 Fortune Blvd, Shiloh, Illinois. She can be reached at her office (for appointments etc.) via phone at
(314) 286-6988.
NPI number for Dr Tera James Langston is 1699984815 and her current mailing address is 1001 Luna Cir Nw, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699984815.
Healthcare Provider's Profile
Full Name | Dr Tera James Langston |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1190 Fortune Blvd, Shiloh, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699984815
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 04/11/2024
Medical Identifiers
Medical identifiers for Dr Tera James Langston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699984815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 7811 (Florida) | Secondary |
103TC0700X | Psychologist - Clinical | 1357 (New Mexico) | 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. Dr Tera James Langston 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 |
Dr Tera James Langston, PHD 1001 Luna Cir Nw, Albuquerque, NM 87102-1973 Ph: (505) 266-0388 | Dr Tera James Langston, PHD 1190 Fortune Blvd, Shiloh, IL 62269-7358 Ph: (314) 286-6988 |
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