Dr. Aixa Long Pllc

NPI #1871221077 in Wildwood, Florida

Provider Information

NPI Number: 1871221077
Entity Type: Organization
Organization Name: Dr. Aixa Long Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Aug 15, 2022
Last Updated: Aug 15, 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
Title: OWNER
Phone: (813) 784-7340

Specialties & Taxonomy Codes

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

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Individual Providers

Provider Name	Specialty	City
DR. Aixa L Long, PSY.D.	Psychologist - Clinical	Wildwood	AI Deep Dive
DR. Linda F Mascetti, PH.D.	Psychologist - Clinical	Sun City Center	AI Deep Dive
DR. Lori Beth Gleicher, PSY.D.	Psychologist - Clinical	Boca Raton	AI Deep Dive
DR. William E. Beaty, PH.D.	Psychologist - Clinical	Gainesville	AI Deep Dive

Organizations

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

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