Individual
DR. DAVID J LONGO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
502 MILL ST, DANVILLE, PA 17821-1015
(570) 271-1995
Mailing address
502 MILL ST, DANVILLE, PA 17821-1015
(570) 271-1995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005293L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1675644
—
PA
Enumeration date
03/03/2006
Last updated
07/09/2007
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