Mary Lou Lange, MA, CCC-SLP - Speech-Language Pathologist in Lewistown, OH

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Mary Lou Lange, MA, CCC-SLP is a Speech-language Pathologist based in Lewistown, Ohio. Mary Lou Lange is licensed to practice in Ohio (license number SP6894) and her current practice location is 12848 State Route 274, Lewistown, Ohio. She can be reached at her office (for appointments etc.) via phone at (937) 597-1497.

NPI number for Mary Lou Lange is 1376078477 and her current mailing address is 12848 State Route 274, Lewistown, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376078477.

Contact Information

Mary Lou Lange, MA, CCC-SLP
12848 State Route 274,
Lewistown, OH 43333-9708
(937) 597-1497
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMary Lou Lange
GenderFemale
SpecialitySpeech-language Pathologist
Location12848 State Route 274, Lewistown, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376078477
  • Provider Enumeration Date: 04/26/2017
  • Last Update Date: 04/26/2017

Medical Identifiers

Medical identifiers for Mary Lou Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376078477NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SP6894 (Ohio)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. Mary Lou 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 AddressPractice Location Address
Mary Lou Lange, MA, CCC-SLP
12848 State Route 274,
Lewistown, OH 43333-9708

Ph: (937) 597-1497		Mary Lou Lange, MA, CCC-SLP
12848 State Route 274,
Lewistown, OH 43333-9708

Ph: (937) 597-1497

Reviews and Comments


Speech-Language Pathologist in Lewistown, OH


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