Individual
DR. RICHARD T. LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
167 DWIGHT ROAD, SUITE #104, LONGMEADOW, MA 01106
(413) 519-1960
(413) 224-1592
Mailing address
39 BROADLEAF CIRCLE, EAST LONGMEADOW, MA 01028
(413) 519-1960
(413) 224-1592
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6395
MA
103TA0700X
Adult Development & Aging Psychologist
6395
MA
103TB0200X
Cognitive & Behavioral Psychologist
6395
MA
103TC0700X
Clinical Psychologist
6395
MA
103TC1900X
Counseling Psychologist
6395
MA
103TF0200X
Forensic Psychologist
6395
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6395
MA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
6395
MA
Other
Enumeration date
11/29/2006
Last updated
04/16/2018
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