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Contact Information

STEPHANIE M LONG, PH.D., MSCP, ABPP
13348 JASPER CT
FAIRFAX, VA22033-1405
 Phone: 703-568-9476
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STEPHANIE M LONG · (Female)

NPI # 1407125511
Status Active
Credentials PH.D., MSCP, ABPP
Entity Individual
Enumeration date 12/19/2011
Last updated 05/20/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • LA License # 311244
  • MD License # 04975
  • VA License # 810007571
Hospital affiliation(s) Not Available
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.

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