Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly L. Lange Psychology, a Professional Corporation

Organization Clinical Neuropsychologist · NPI 1235337528

Kelly L. Lange Psychology, a Professional Corporation is a Clinical Neuropsychologist in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

9606 Tierra Grande St Ste 107
San Diego, CA 92126-6501
Phone: (858) 693-3113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 21401 (CA)

Record details

NPI number1235337528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Lange — Clinical Neuropsychologist · (858) 218-4601
NPI enumeratedJuly 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing address9606 Tierra Grande St, Suite 107, San Diego, CA 92126-6501

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