# DR. KATHLEEN THERESE LONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194409821
- **Gender:** F
- **Credential:** AU.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 81504 | TX | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | 81504 | TX | — |

## Other

- **Enumeration date:** 06/13/2023
- **Last updated:** 09/13/2024