Individual
DR. LYNETTE ALBERTA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 802, CHEVY CHASE, MD 20815
(301) 654-8181
(202) 462-7680
Mailing address
5530 WISCONSIN AVENUE, SUITE 802, CHEVY CHASE, MD 20815
(301) 654-8181
(202) 462-7680
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
1744
MD
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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