Long, Lori

Long, Lori is an sole proprietor health care provider with primary practice located at 7600 N 16Th St Suite 218, Phoenix AZ 85020-4431. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Long, Lori can be contacted via phone (602) 904-3405.

Contact Information

Primary practice address
7600 N 16Th St Suite 218 Phoenix AZ 85020-4431
Phone: (602) 904-3405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 4207 Arizona
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 4207 Arizona
Behavioral Health & Social Service Providers / School 103TS0200X 4207 Arizona

Profile Details

NPI number 1477836799
LBN Legal business name Long, Lori
Credentials PH.D., NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2011
Last updated Sep 27th, 2011 - about 13 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.

Request for update

Popular Providers