Individual
WILLIAM LONGSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7133 MOORGATE RD, INDIANAPOLIS, IN 46250-2850
(317) 517-0899
Mailing address
7133 MOORGATE RD, INDIANAPOLIS, IN 46250-2850
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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