Individual
DR. SUSANNE K LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
13885 HEDGEWOOD DR, # 245, WOODBRIDGE, VA 22193-7928
(703) 490-0336
(703) 490-4525
Mailing address
13885 HEDGEWOOD DR, WOODBRIDGE, VA 22193-7928
(703) 490-0336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810-004831
VA
Other
Enumeration date
07/25/2013
Last updated
11/26/2013
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