Long, Douglas Moore

Long, Douglas Moore is an individual health care provider with primary practice located at 1170 Pontiac Ave , Cranston RI 02920-7944. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Long, Douglas Moore can be contacted via phone (401) 500-0424.

Contact Information

Primary practice address
1170 Pontiac Ave Cranston RI 02920-7944
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS01564 Rhode Island

Profile Details

NPI number 1750731592
LBN Legal business name Long, Douglas Moore
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2016
Last updated Oct 4th, 2023 - about last year

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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