DR. Jennifer Suzanne Long, PSYD

NPI #1639280688 in West Plains, Missouri

Provider Information

NPI Number: 1639280688
Entity Type: Individual
Name: DR. Jennifer Suzanne Long, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Aug 31, 2006
Last Updated: Jun 28, 2017

Practice Location

Address: 408 WASHINGTON AVE
Address 2: STE 107
City: West Plains
State: Missouri
ZIP Code: 65775-3404
Phone: (417) 255-8790

Specialties & Taxonomy Codes

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

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Organizations

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