Individual
DR. BROOKE E LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
325 S PAULINA ST STE 200, CHICAGO, IL 60612-3207
(312) 942-8387
Mailing address
325 S PAULINA ST STE 200, CHICAGO, IL 60612-3207
(312) 942-8387
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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