Alicia A Long, N/A
NPI #1538994934 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1538994934
- Entity Type
- Individual
- Name
- Alicia A Long, N/A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Intellectual & Developmental Disabilities
- Credential
- N/A
- Enumeration Date
- Sep 4, 2024
- Last Updated
- Sep 4, 2024
Practice Location
- Address
- 6227 WALKER ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19135-3507
- Phone
- (267) 592-8704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
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