Individual
DR. COLLEEN F. LONG
Active
Individual
DR. COLLEEN F. LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY23911
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY23911
CA
103TB0200X
Cognitive & Behavioral Psychologist
10295
MA
103TB0200X
Cognitive & Behavioral Psychologist
PSY23911
CA
103TC0700X
Clinical Psychologist
Primary
10295
MA
103TC0700X
Clinical Psychologist
PSY23911
CA
103TH0004X
Health Psychologist
PSY23911
CA
Other
Enumeration date
11/08/2010
Last updated
02/10/2023
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