Individual
AMY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5530 WESTBURY DR, ENOLA, PA 17025-3316
(240) 416-1727
Mailing address
5530 WESTBURY DR, ENOLA, PA 17025-3316
(240) 416-1727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012829
PA
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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