Individual
PAUL C LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
6400 LEE HWY, ST 110, CHATTANOOGA, TN 37421-2452
(423) 899-5081
(423) 490-0410
Mailing address
PO BOX 22487, CHATTANOOGA, TN 37422-2487
(423) 899-5081
(423) 490-0410
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1056
TN
Other
Enumeration date
05/06/2006
Last updated
02/07/2013
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