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Contact Information

LARRY E LONG JR, PHD
2904 WEST 72 STREET
PRAIRIE VILLAGE, KS66208
 Phone: 913-442-7613
 Fax: 913-442-7613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LARRY E LONG JR · (Male)

NPI # 1346313061
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/17/2006
Last updated 11/18/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 1166
  • KS License # 1397
  • MO License # 2002002936
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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