Individual
DR. SHELLEY LYNN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
325 OXFORD CT, ROANOKE, TX 76262-5063
(979) 571-5046
Mailing address
325 OXFORD CT, ROANOKE, TX 76262-5063
(979) 571-5046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
19815
TX
103TC1900X
Counseling Psychologist
Primary
36498
TX
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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