Individual
DR. LARRY EUGENE LONG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2904 WEST 72 STREET, PRAIRIE VILLAGE, KS 66208
(913) 442-7613
(913) 442-7613
Mailing address
2904 WEST 72 STREET, PRAIRIE VILLAGE, KS 66208
(913) 442-7613
(913) 442-7613
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
1166
KS
103TC1900X
Counseling Psychologist
Primary
1397
KS
103TC1900X
Counseling Psychologist
2002002936
MO
Other
Enumeration date
11/17/2006
Last updated
11/18/2025
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