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Contact Information

LOUISE KNIGHT LONG, LSW
4 FORK STREET
SUITE 13080, THIRD FLOOR
TOBYHANNA, PA18344
 Phone: 570-580-1115
 Fax: 570-580-1120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LOUISE KNIGHT LONG · (Female)

NPI Number 1063986008
Status Active
Credentials LSW (Licensed Social Workers)
Entity Individual
Enumeration date 01/13/2019
Last updated 04/08/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # 136797
  • PA Other 1497229421 MINDBRIDGE
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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