Individual
RAINEY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 QUAILS NEST DR, DOVER, DE 19904-5578
(302) 573-1231
Mailing address
148 QUAILS NEST DR, DOVER, DE 19904-5578
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250567286
—
DE
Enumeration date
10/22/2020
Last updated
10/22/2020
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