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Individual

DR. KATHLEEN THERESE LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
4859 WILLIAMS DR STE 109, GEORGETOWN, TX 78633-2304
(512) 357-8000
Mailing address
1603 MEDICAL PKWY STE 200, CEDAR PARK, TX 78613-7904
(512) 260-2665
(512) 260-2668

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81504
TX
237600000X
Audiologist-Hearing Aid Fitter
81504
TX

Other

Enumeration date
06/13/2023
Last updated
09/13/2024
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