Longo, Leslie A

Longo, Leslie A is an sole proprietor health care provider with primary practice located at 2201 E State St , Hermitage PA 16148-2727. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Longo, Leslie A can be contacted via phone (724) 981-7141.

Contact Information

Primary practice address
2201 E State St Hermitage PA 16148-2727
Fax: (724) 981-7148
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E0500230 Ohio

Profile Details

NPI number 1902956410
LBN Legal business name Longo, Leslie A
Credentials PH.D., P.C.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 17th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902956410 NPPES
Ohio Other 834979000 MAGELLAN INSURANCE
Ohio Other 000000386571 MAGELLAN INSURANCE

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