Long, Beverly Jean

Long, Beverly Jean is an sole proprietor health care provider with primary practice located at 3301 7Th Ave , Anoka MN 55303-4516. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Long, Beverly Jean can be contacted via phone (763) 712-4060.

Contact Information

Primary practice address
3301 7Th Ave Anoka MN 55303-4516
Phone: (763) 712-4060
Fax: (763) 712-4030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X LP1680 Minnesota

Profile Details

NPI number 1306935804
LBN Legal business name Long, Beverly Jean
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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