Individual
DR. BEVERLY JEAN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(763) 712-4060
(763) 712-4030
Mailing address
546 WINONA ST E, SAINT PAUL, MN 55107-2425
(651) 253-8438
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP1680
MN
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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