Individual
DINA MARIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
315 E LINDSLEY RD, CEDAR GROVE, NJ 07009-1152
(973) 754-4800
Mailing address
75 CHERRY ST, JERSEY CITY, NJ 07305-4821
(908) 216-6988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00982500
NJ
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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