Individual
STEPHANIE CATHERINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5127 W INDIAN SCHOOL RD # 161, PHOENIX, AZ 85031-2611
(623) 245-7014
Mailing address
6800 E MAYO BLVD APT 3106, PHOENIX, AZ 85054-5626
(602) 696-3375
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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