Dr. Lori Long, Ph.D., NCSP
Psychologist, School in Phoenix, AZ. Individual provider (NPI-1).
NPI number1477836799
StatusActive
Last updated in NPPESSep 27, 2011
Details
- NPI
- 1477836799
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lori Long
- Credential
- Ph.D., NCSP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2011
- Last updated
- Sep 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 4207 | AZ | Yes |
| 103TB0200X | Psychologist, Cognitive & Behavioral | 4207 | AZ | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | 4207 | AZ |
Other names
- Lori Ann White (Former Name)
Practice location
7600 N 16th StSuite 218
Phoenix, AZ 85020-4431
Phone 602-904-3405
Mailing address
7600 N 16th StSuite 218
Phoenix, AZ 85020-4431
Phone 602-904-3405
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