National Provider Identifier Database

JUDITH A LONG, THERAPIST – NPI #1417097429
Radiation Oncology

January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.


Contact Information

JUDITH A LONG, THERAPIST
109 N EVANS
BRADNER, OH43406-0212
Phone: 419-288-3202
Fax:
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for JUDITH A LONG

NPI Number 1417097429
Credentials THERAPIST
Entity Individual
Enumeration date 02/07/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 238639
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JUDITH A LONG, THERAPIST

There are currently no reviews for JUDITH A LONG, THERAPIST


NPIdb - Home
v2.201