Individual
PAIGE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2445 PALMYRA ST, NORFOLK, VA 23513-4492
(757) 852-4641
Mailing address
2445 PALMYRA ST, NORFOLK, VA 23513-4492
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000815
VA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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