DR. Marvin Lionel Long JR., ED. D.

NPI #1962563106 in Dublin, Georgia

Provider Information

NPI Number: 1962563106
Entity Type: Individual
Name: DR. Marvin Lionel Long JR., ED. D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: ED. D.
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1626 VETERANS BLVD
Address 2: SUITE E
City: Dublin
State: Georgia
ZIP Code: 31021-3576
Phone: (478) 272-1066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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