Individual
DR. VALERIE ILENE KVALE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22811 MACK AVE, SUITE L-3, SAINT CLAIR SHORES, MI 48080-2021
(586) 777-0470
(586) 777-9879
Mailing address
11495 N PENNSYLVANIA ST, SUITE 105, CARMEL, IN 46032-6943
(317) 942-4020
(317) 942-4019
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007341
MI
Other
Enumeration date
03/04/2009
Last updated
08/16/2012
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