Individual
REBECCA L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
9800A MCKNIGHT RD STE 205, PITTSBURGH, PA 15237-6006
(412) 593-2048
(844) 311-7396
Mailing address
118 QUEENS CT, PITTSBURGH, PA 15237-2043
(513) 594-1004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003827
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN003827
PA RDN LICENSE
PA
Enumeration date
10/01/2024
Last updated
10/01/2024
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