Individual
DR. CARLA DENISE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0599
Mailing address
PO BOX 154, FORT BELVOIR, VA 22060-0154
(703) 664-5000
(703) 664-5008
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
701
AL
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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