Individual
HELEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
160 S HOLLYWOOD ST, SHELBY COUNTY SCHOOLS, MEMPHIS, TN 38112-4801
(901) 416-5600
(901) 416-5697
Mailing address
1437 CENTRAL AVE, #316, MEMPHIS, TN 38104-4890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5365
TN
235Z00000X
Speech-Language Pathologist
8977
MA
235Z00000X
Speech-Language Pathologist
SP01205
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q008425
—
TN
Enumeration date
09/22/2012
Last updated
11/04/2015
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