Individual
KATHERINE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
3600 SISK RD STE 5A, MODESTO, CA 95356-0540
(209) 485-8299
Mailing address
1470 TRAMWAY PL, TURLOCK, CA 95380-3084
(209) 485-8299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4849
CA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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