Individual
DR. RISA NICOLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
543 TAYLOR AVE FL 2, COLUMBUS, OH 43203-1278
(614) 293-5123
(614) 293-4980
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5123
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.07733
OH
Other
Enumeration date
06/20/2018
Last updated
02/13/2025
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