Individual
JULIA MARTIN LONGENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
203 HENDERSON RD, PITTSBURGH, PA 15237-3301
(412) 212-3242
Mailing address
8878 COVENANT AVE # 135, PITTSBURGH, PA 15237-5977
(412) 212-3242
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019583
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS019583
PA
103TC0700X
Clinical Psychologist
PS019583
PA
Other
Enumeration date
06/10/2022
Last updated
09/21/2022
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