Individual
ALLISON LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, TSSLD
Contact information
Practice address
124 W 95TH ST, NEW YORK, NY 10025-6604
(406) 633-1133
Mailing address
336 FLATBUSH AVE APT 2B, BROOKLYN, NY 11238-5284
(406) 633-1133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
028554
NY
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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