Individual
MEGAN E LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
255 CREEK VIEW DR, AUSTIN, AR 72007-9739
(660) 216-4024
Mailing address
255 CREEK VIEW DR, AUSTIN, AR 72007-9739
(660) 216-4024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8498
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP#P8498
SPEECH LANGUAGE PATHOLOGTST
AR
Enumeration date
01/23/2012
Last updated
01/23/2012
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