J. DAVID LONG

RUTLAND, VT
NPI1255423927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VT  0480000309)
Enumeration Date2006-09-29
Last Update Date2007-07-08
Business Address
Mr. J. DAVID LONG Psychologist Doctora
78 S MAIN ST
RUTLAND, VT 05701-4530
Phone number: 802-775-8224
Mailing Address
Mr. J. DAVID LONG Psychologist Doctora
PO BOX 686
MIDDLEBURY, VT 05753-0686
Phone number: 802-352-9085