Organization
PRISM LEARNING AND DEVELOPMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI LONG PH. D. (OWNER/PSYCHOLOGIST)
(602) 904-3405
Entity
Organization
Contact information
Practice address
7157 E RANCHO VISTA DR STE 7147B24, SCOTTSDALE, AZ 85251-1494
(602) 904-3405
Mailing address
7327 E MONTE VISTA RD, SCOTTSDALE, AZ 85257-1458
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4207
AZ
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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