Individual
DR. DOUGLAS MOORE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1170 PONTIAC AVE, CRANSTON, RI 02920-7944
(401) 500-0424
Mailing address
420 SCRABBLETOWN RD STE A, NORTH KINGSTOWN, RI 02852-3638
(401) 268-5333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01564
RI
Other
Enumeration date
06/13/2016
Last updated
10/04/2023
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