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Individual

DR. REBECCA ANN LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
258 LOPES CIR, FRANKLIN, NC 28734-3527
(828) 524-4110
(828) 349-8983
Mailing address
PO BOX 2076, FRANKLIN, NC 28734-3002
(828) 524-4110
(828) 349-8983

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3238
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000912
NC
Enumeration date
07/19/2006
Last updated
07/29/2014
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