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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA JAYNE LONG, MA CCC-S

Active Sole Proprietor

MRS. LISA JAYNE LONG, MA CCC-S is a Speech, Language and Hearing Specialist healthcare provider located in LOGAN, West Virginia. NPI 1205013695 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · LOGAN, WV

Registration Details

NPI Number
1205013695
Provider Type
Individual
Gender
Female
NPI Issued
Jan 28, 2008 (18.501636166441 yrs)
Last Updated
Jan 28, 2008
License
12089807 (WV)
Sole Proprietor
Yes

Practice Information

Address
506 HOLLY AVE
LOGAN, WV, 256013306
Browse WV providers · Browse ZIP 25601
Phone
3047922073
Fax
3047527471
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in LOGAN, WV

Name Credential NPI
MR. MATTHEW STEPHEN CAMPBELL M.S., SLP 1316062243
MRS. CATHERINE ELLEN FERRELL MA SLP CCC 1306023775
MRS. SABRINA LYNNE GRACE MS CCC-S 1346427721
MRS. TIFFANY ERINN MAYO MS 1659558047
MRS. ALICE STUMP AKERS CCC-SLP 1487831954
MISS DEANGELA CONLEY MA CCC-SLP 1174700546
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.