Individual
MRS. GAYE LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, CCC-SLP
Contact information
Practice address
2200 N POPLAR ST, NORTH LITTLE ROCK, AR 72114-2322
(501) 771-8042
Mailing address
1724 OSCEOLA DR, NORTH LITTLE ROCK, AR 72116-4531
(501) 833-0337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
541
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166015721
—
AR
Enumeration date
05/15/2008
Last updated
05/16/2008
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