Bill Ray Long in Punxsutawney - Clinical

Bill Ray Long - NPI 1366594210

Bill Ray Long is a Clinical in Punxsutawney, Pennsylvania. Bill Ray Long practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bill Ray Long is 1366594210. The last update date is 2007-07-08.

Bill Ray Long's current location address is 531 N Main St, Punxsutawney, Pennsylvania. You can contact this provider via phone number 8149383977 and fax number 8139487339. The mailing address for Bill Ray Long is 531 N Main St, Punxsutawney, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Bill Ray Long
Address 531 N Main St, Punxsutawney, Pennsylvania
Phone Number 8149383977
Fax Number 8139487339
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1366594210
Provider Enumeration Date 2007-01-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 531 N Main St
City Punxsutawney
State Pennsylvania (PA)
Post Code 157672580
Phone Number 8149383977
Fax Number 8139487339

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PS-007666-L
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1479310 PA --

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FAQs about Bill Ray Long

What is the unique identification code assigned to Bill Ray Long by the Centers for Medicare & Medicaid Services?

The Bill Ray Long has been issued the NPI (National Provider Identifier) 1366594210. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Bill Ray Long located?

The Bill Ray Long is located at 531 N Main St, Punxsutawney, PA 157672580.

What is Bill Ray Long's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bill Ray Long's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1366594210 to Bill Ray Long?

The Centers for Medicare & Medicaid Services assigned the 1366594210 to Bill Ray Long on 2007-01-18.

When was the information related to Bill Ray Long most recently updated or refreshed?

The details pertaining to the Bill Ray Long, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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