Individual
KELLI ROS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
905 JOHNS HOPKINS DR, GREENVILLE, NC 27834-2056
(252) 744-1406
(252) 744-2419
Mailing address
905 JOHNS HOPKINS DR, GREENVILLE, NC 27834-2056
(252) 744-1406
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6623
NC
103TH0100X
Health Service Psychologist
6623
NC
Other
Enumeration date
06/30/2022
Last updated
10/03/2024
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