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:
Health care specialties
Specialty | Code | License # | 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 17 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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