DR. Mark A D Long, ED.D.

NPI #1265408124 in Norfolk, Virginia

Provider Information

NPI Number: 1265408124
Entity Type: Individual
Name: DR. Mark A D Long, ED.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: ED.D.
Enumeration Date: Feb 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 249 W YORK ST
City: Norfolk
State: Virginia
ZIP Code: 23510-1520
Phone: (757) 622-6794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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