Individual
JEFFERY S LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3310 CROASDAILE DR STE 400, DURHAM, NC 27705-6806
(919) 384-9682
(919) 384-9683
Mailing address
3310 CROASDAILE DR STE 400, DURHAM, NC 27705-6806
(919) 384-9682
(919) 384-9683
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4306
NC
Other
Enumeration date
01/20/2010
Last updated
10/18/2013
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