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Individual

DR. RICHARD LEWIS LONG JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
12880 HILLCREST RD, SUITE 110, DALLAS, TX 75230-1532
(972) 233-3969
(972) 728-1481
Mailing address
12880 HILLCREST RD, SUITE 110, DALLAS, TX 75230-1532
(972) 233-3969
(972) 728-1481

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
32868
TX
103TC0700X
Clinical Psychologist
Primary
32868
TX
103TC2200X
Clinical Child & Adolescent Psychologist
32868
TX

Other

Enumeration date
05/10/2007
Last updated
12/26/2007
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