Individual
ELIZABETH ANNE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
190 CURRIE HALL PKWY, KENT, OH 44240-4312
(614) 598-3316
Mailing address
190 CURRIE HALL PKWY, KENT, OH 44240-4312
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
7215
OH
Other
Enumeration date
10/08/2014
Last updated
12/10/2014
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