Individual
DR. GARY A LONGWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
432 TRUXTUN AVE, BAKERSFIELD, CA 93301-5316
(661) 327-4252
(661) 327-3409
Mailing address
PO BOX 10627, BAKERSFIELD, CA 93389-0627
(661) 327-4252
(661) 327-3409
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18868
CA
103TF0200X
Forensic Psychologist
PSY18868
CA
103TH0100X
Health Service Psychologist
PSY18868
CA
Other
Enumeration date
07/01/2006
Last updated
03/20/2018
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