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Contact Information

JOANN M LONG, MA CCC SLPL
5739 LACRESTA DRIVE
ROCKFORD, IL61114
 Phone: 815-494-8869
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

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

NPI Number 1841320157
Status Active
Credentials MA CCC SLPL
Entity Individual
Enumeration date 03/06/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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