Individual
DR. GRACE M LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
642 S ALASKA ST STE 218, PALMER, AK 99645-6378
(907) 746-1212
(907) 746-7307
Mailing address
PO BOX 773, PALMER, AK 99645-0773
(907) 746-1212
(907) 746-7307
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
480
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841415320
PSYCHOLOGY RESOURCES PC - GROUP NPI
AK
Enumeration date
02/21/2007
Last updated
01/28/2011
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