Gregory A Long is a Psychologist in Dekalb, Illinois. Gregory A Long practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Gregory A Long is 1225106438. The last update date is 2007-07-08.
Gregory A Long's current location address is 1 Lucinda Ave., Dekalb, Illinois. You can contact this provider via phone number 8157536508. The mailing address for Gregory A Long is 1 Lucinda Ave., Dekalb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory A Long |
|---|---|
| Address | 1 Lucinda Ave., Dekalb, Illinois |
| Phone Number | 8157536508 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1225106438 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Lucinda Ave. |
|---|---|
| City | Dekalb |
| State | Illinois (IL) |
| Post Code | 601152899 |
| Phone Number | 8157536508 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 86-13P |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the Gregory A Long's unique identification number?
The Gregory A Long has been assigned the NPI (National Provider Identifier) Number 1225106438 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Gregory A Long's physical address?
The Gregory A Long is physically located at 1 Lucinda Ave., in the city of Dekalb, IL, with the postal code 601152899.
What is Gregory A Long's area of expertise and its corresponding taxonomy classification?
The Gregory A Long's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Gregory A Long receive its 1225106438 assignment from the Centers for Medicare & Medicaid Services?
The Gregory A Long was assigned its 1225106438 on 2006-12-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Gregory A Long most recently updated or revised?
The information pertaining to Gregory A Long, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL