DR. Marissa Long, MAOB, PSY.D.
NPI #1396047056 in Claremont, California
Provider Information
- NPI Number
- 1396047056
- Entity Type
- Individual
- Name
- DR. Marissa Long, MAOB, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- MAOB, PSY.D.
- Enumeration Date
- Nov 30, 2010
- Last Updated
- Nov 30, 2010
Practice Location
- Address
- 250 W 1ST ST
- Address 2
- 230
- City
- Claremont
- State
- California
- ZIP Code
- 91711-4736
- Phone
- (909) 624-1997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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