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Individual

BYRON LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2205 N WHEELING AVE, MUNCIE, IN 47303-1602
(765) 287-1922
(765) 287-9017
Mailing address
2205 N WHEELING AVE, MUNCIE, IN 47303-1602
(765) 287-1922
(765) 287-9017

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043530A
IN

Other

Enumeration date
11/04/2021
Last updated
11/04/2021
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