Individual
LESLIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
602 BERNSTEIN ST, AUSTIN, TX 78745-5510
(512) 549-9549
Mailing address
602 BERNSTEIN ST, AUSTIN, TX 78745-5510
(512) 549-9549
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86033
TX
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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