Individual
SUSAN MICHELE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., M.A., CCC-SLP
Contact information
Practice address
3231 N ELLIS ST, CHANDLER, AZ 85224-1068
(480) 634-5656
Mailing address
3231 N ELLIS ST, CHANDLER, AZ 85224-1068
(480) 634-5656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4063
AZ
Other
Enumeration date
03/21/2008
Last updated
10/13/2011
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