MICHAEL THOMAS LONG

PHILADELPHIA, PA
NPI1790336998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: PA  PS018844)
Enumeration Date2019-09-27
Last Update Date2024-05-04
Business Address
Dr. MICHAEL THOMAS LONG PsyD
255 S 17TH ST STE 804
PHILADELPHIA, PA 19103-6208
Phone number: 720-339-5526
Mailing Address
Dr. MICHAEL THOMAS LONG PsyD
255 S 17TH ST STE 804
PHILADELPHIA, PA 19103-6208
Phone number: 203-339-5526
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