Individual
DR. BETH COLLEEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1717 S ORANGE AVE STE 100, ORLANDO, FL 32806-2946
(407) 650-7000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4000
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2530
WI
Other
Enumeration date
09/30/2006
Last updated
05/01/2018
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