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NPI Profile for Dr ANDREA LONG in SUDBURY, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1235882077 |
|
| Status | Active | |
| Credentials | PSY.D. (Doctor of Psychology) | |
| Entity | Individual | |
| Enumeration date | 02/01/2022 | |
| Last updated | 02/01/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ANDREA LONG
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ANDREA LONG, PSY.D.