Elizabeth Long
Marriage & Family Therapist in Indianapolis, IN. Individual provider (NPI-1).
NPI number1407308570
StatusActive
Last updated in NPPESDec 1, 2020
Details
- NPI
- 1407308570
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Long
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2016
- Certification date
- Dec 1, 2020
- Last updated
- Dec 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 35001942A | IN | Yes |
Practice location
1525 N Ritter AveIndianapolis, IN 46219-3026
Phone 317-359-5467
Mailing address
6626 E 75th StIndianapolis, IN 46250-2805
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