Organization
JAMIE LONG, PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE LONG (PRESIDENT)
(954) 661-6847
Entity
Organization
Contact information
Practice address
2425 E COMMERCIAL BLVD STE 400, FT LAUDERDALE, FL 33308-4029
(954) 661-6847
(954) 634-5360
Mailing address
2425 E COMMERCIAL BLVD STE 400, FT LAUDERDALE, FL 33308-4029
(954) 661-6847
(954) 634-5360
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7730
FL
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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