Thomas Joseph Longo in Fort Bragg - Clinical
Thomas Joseph Longo - NPI 1750552758
Thomas Joseph Longo is a Clinical in Fort Bragg, North Carolina. Thomas Joseph Longo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas Joseph Longo is 1750552758. The last update date is 2022-04-11.
Thomas Joseph Longo's current location address is 2817 Reilly St, Fort Bragg, North Carolina. You can contact this provider via phone number 9109078922. The mailing address for Thomas Joseph Longo is 2817 Reilly St, Fort Bragg, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Joseph Longo |
|---|---|
| Address | 2817 Reilly St, Fort Bragg, North Carolina |
| Phone Number | 9109078922 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1750552758 |
|---|---|
| Provider Enumeration Date | 2008-03-18 |
| Last Updated Date | 2022-04-11 |
Provider Mailing Address Detail
| Address | 2817 Reilly St |
|---|---|
| City | Fort Bragg |
| State | North Carolina (NC) |
| Post Code | 283107324 |
| Phone Number | 9109078922 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1481 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Thomas Joseph Longo by the Centers for Medicare & Medicaid Services (CMS)?
The Thomas Joseph Longo has been assigned the NPI (National Provider Identifier) 1750552758. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Thomas Joseph Longo's physical address?
The Thomas Joseph Longo is physically located at 2817 Reilly St, in the city of Fort Bragg, NC, with the postal code 283107324.
What is Thomas Joseph Longo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas Joseph Longo's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Thomas Joseph Longo receive its 1750552758 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Joseph Longo was assigned its 1750552758 on 2008-03-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Thomas Joseph Longo most recently updated or refreshed?
The details pertaining to the Thomas Joseph Longo, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-04-11.