Individual
MRS. REBECCA JEAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
110 JOHNSON LN, BARBOURVILLE, KY 40906-1321
(606) 546-5109
Mailing address
110 JOHNSON LN, BARBOURVILLE, KY 40906-1321
(606) 546-5109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1990
KY
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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