Individual
MICHAEL D LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1270 BELMONT AVE, SCHENECTADY, NY 12308-2104
(518) 282-4522
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011560-1
NY
Other
Enumeration date
05/10/2006
Last updated
05/20/2021
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