Individual
SALLY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
600 N. WOLFE ST, MEYER 218, BALTIMORE, MD 21287-7218
(410) 955-0504
Mailing address
4000 RESERVOIR RD NW, BUILDING D, SUITE 207, WASHINGTON, DC 20007-2145
(202) 687-6395
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/25/2008
Last updated
03/24/2011
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