Individual
DR. STEPHANIE MARIE LONG
Active
Individual
DR. STEPHANIE MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., MSCP, ABPP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
04975
MD
103TC0700X
Clinical Psychologist
Primary
810007571
VA
103TP0016X
Prescribing (Medical) Psychologist
311244
LA
Other
Enumeration date
12/19/2011
Last updated
05/20/2026
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