Long, Mark A D

Long, Mark A D is an individual health care provider with primary practice located at 249 W York St , Norfolk VA 23510-1520. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Long, Mark A D can be contacted via phone (757) 622-6794.

Contact Information

Primary practice address
249 W York St Norfolk VA 23510-1520
Phone: (757) 622-6794
Fax: (757) 626-1509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001510 Virginia

Profile Details

NPI number 1265408124
LBN Legal business name Long, Mark A D
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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