Organization
BEVERLY LONG, PSY.D., L.P., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY JEAN LONG PSYD (PSYCHOLOGIST)
(651) 253-8438
Entity
Organization
Contact information
Practice address
546 WINONA ST E, SAINT PAUL, MN 55107-2425
(651) 253-8438
Mailing address
546 WINONA ST E, SAINT PAUL, MN 55107-2425
(651) 253-8438
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP1680
MN
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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