Long, Grace M
Long, Grace M is an sole proprietor health care provider with primary practice located at 642 S Alaska St Ste 218 , Palmer AK 99645-6378. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Long, Grace M can be contacted via phone (907) 746-1212.Contact Information
Primary practice address
642 S Alaska St Ste 218
Palmer AK 99645-6378
Phone: (907) 746-1212
Fax: (907) 746-7307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 480 | Alaska |
Profile Details
| NPI number | 1275668469 |
|---|---|
| LBN Legal business name | Long, Grace M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jan 28th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275668469 | NPPES |
| Alaska | Other | 1841415320 | PSYCHOLOGY RESOURCES PC - GROUP NPI |
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