Dr. Aixa Long

NPI #1467171363 in Wildwood, Florida

Provider Information

NPI Number: 1467171363
Entity Type: Organization
Organization Name: Dr. Aixa Long
Primary Specialty: Psychologist - Clinical
Enumeration Date: Aug 24, 2022
Last Updated: Aug 24, 2022

Practice Location

Address: 601 WEBSTER ST
City: Wildwood
State: Florida
ZIP Code: 34785-3828
Phone: (352) 432-8892

Authorized Official

Name: DR. AIXA LONG, PSY.D
Title: OWNER
Phone: (813) 784-7340

Specialties & Taxonomy Codes

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

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DR. Aixa L Long, PSY.D.	Psychologist - Clinical	Wildwood	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Dr. Aixa Long Pllc	Psychologist - Clinical	Wildwood	AI Deep Dive

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