Individual
KIMBERLY G LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
(225) 343-4233
Mailing address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
(225) 343-4233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7075
LA
Other
Enumeration date
02/27/2014
Last updated
04/23/2014
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