Individual
DR. TONIA L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1100 HALLE PARK CIRCLE, STE 101, COLLIERVILLE, TN 38017
(901) 651-2879
(901) 562-0379
Mailing address
1100 HALLE PARK CIRCLE, STE 101, COLLIERVILLE, TN 38017
(901) 651-2879
(901) 562-0379
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
P0000001774
TN
103TC0700X
Clinical Psychologist
Primary
P0000001774
TN
103TC1900X
Counseling Psychologist
P0000001774
TN
103TP2701X
Group Psychotherapy Psychologist
P0000001774
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047479
CIGNA
TN
01
—
4004785
TN BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/01/2005
Last updated
03/30/2020
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