Long, Stephanie Marie

Long, Stephanie Marie is an individual health care provider with primary practice located at 3530 N Courthouse Rd , Providence Forge VA 23140-3408. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Long, Stephanie Marie can be contacted via phone (804) 409-7525.

Contact Information

Primary practice address
3530 N Courthouse Rd Providence Forge VA 23140-3408
Phone: (804) 409-7525
Fax: (804) 315-9380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 04975 Maryland
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 311244 Louisiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 810007571 Virginia

Profile Details

NPI number 1407125511
LBN Legal business name Long, Stephanie Marie
Credentials PH.D., MSCP, ABPP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2011
Last updated Jan 11th, 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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