Sondra Adele Long in Patrick Afb - Clinical
Sondra Adele Long - NPI 1871588178
Sondra Adele Long is a Clinical in Patrick Afb, Florida. Sondra Adele Long practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sondra Adele Long is 1871588178. The last update date is 2007-07-08.
Sondra Adele Long's current location address is 1381 S Patrick Dr, Patrick Afb, Florida. You can contact this provider via phone number 3214948234 and fax number 3214948074. The mailing address for Sondra Adele Long is 1381 S Patrick Dr, Patrick Afb, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sondra Adele Long |
|---|---|
| Address | 1381 S Patrick Dr, Patrick Afb, Florida |
| Phone Number | 3214948234 |
| Fax Number | 3214948074 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1871588178 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1381 S Patrick Dr |
|---|---|
| City | Patrick Afb |
| State | Florida (FL) |
| Post Code | 329253606 |
| Phone Number | 3214948234 |
| Fax Number | 3214948074 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW 4492 |
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What is the unique 10-digit identifier code assigned to Sondra Adele Long by the Centers for Medicare & Medicaid Services?
The Sondra Adele Long has been issued the NPI (National Provider Identifier) 1871588178 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sondra Adele Long?
The Sondra Adele Long is situated at 1381 S Patrick Dr, in the city of Patrick Afb, state of FL, with the zip code 329253606.
What is the Sondra Adele Long's specialty and taxonomy code?
The Sondra Adele Long's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Sondra Adele Long receive its 1871588178?
The Sondra Adele Long was issued its 1871588178 on 2005-09-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Sondra Adele Long most recently updated or revised?
The information pertaining to Sondra Adele Long, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.