J. David Long is a Clinical in Rutland, Vermont. J. David Long practices all healthcare services and medical treatments related to Clinical. The NPI Number for J. David Long is 1255423927. The last update date is 2007-07-08.
J. David Long's current location address is 78 S Main St, Rutland, Vermont. You can contact this provider via phone number 8027758224 and fax number 8027477699. The mailing address for J. David Long is 78 S Main St, Rutland, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | J. David Long |
|---|---|
| Address | 78 S Main St, Rutland, Vermont |
| Phone Number | 8027758224 |
| Fax Number | 8027477699 |
| Sole Proprietor | Y |
| Credentials | PSYCHOLOGI |
NPI Number Detail
| NPI Number | 1255423927 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 78 S Main St |
|---|---|
| City | Rutland |
| State | Vermont (VT) |
| Post Code | 57014530 |
| Phone Number | 8027758224 |
| Fax Number | 8027477699 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 480000309 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9963 | VT | BC/BS | |
| 9534 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to J. David Long by the Centers for Medicare & Medicaid Services (CMS)?
The J. David Long has been assigned the NPI (National Provider Identifier) 1255423927. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where J. David Long is physically located?
The J. David Long is physically situated at the following address: 78 S Main St, Rutland, VT, 57014530.
What is J. David Long's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for J. David Long is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255423927 to J. David Long?
The Centers for Medicare & Medicaid Services assigned the 1255423927 to J. David Long on 2006-09-29.
When was the J. David Long's information last updated?
The J. David Long's information was last updated on 2007-07-08.
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