Search › Illinois › 103TC0700X
Tera Langston, PHD
NPI 1699984815 · on the registry since 2007
Practice
- Address
- 1190 Fortune Blvd
Shiloh, IL 62269 - Phone
- (314) 286-6988
- Organisation at this address
- St. Louis Jc Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- FL, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois