Individual
DANIELE LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1403 PEMBERTON RD, SUITE 306, RICHMOND, VA 23238-4474
(804) 741-7500
(804) 741-7900
Mailing address
1403 PEMBERTON RD, SUITE 306, RICHMOND, VA 23238-4474
(804) 741-7500
(804) 741-7900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002609
VA
Other
Enumeration date
06/21/2006
Last updated
12/06/2010
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