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

OCTAVIS LAQUAN LONG

Active Sole Proprietor

OCTAVIS LAQUAN LONG is a Psychologist healthcare provider located in EAST LANSING, Michigan. NPI 1356129217 is currently active in the NPPES registry. Verify at CMS.

Psychologist · EAST LANSING, MI

Registration Details

NPI Number
1356129217
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2023 (2.8813202974189 yrs)
Last Updated
Sep 20, 2023
License
6361002091 (MI)
Sole Proprietor
Yes

Practice Information

Address
715 BUTEO DR
EAST LANSING, MI, 488238304
Browse MI providers · Browse ZIP 48823
Phone
5176145200
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in EAST LANSING, MI

Name Credential NPI
DR. CLAIRE FLEET BERKMAN EDD 1992765788
DR. LOUIS POST PHD 1598726481
JACQUE D MOSS FLP 1851357438
DR. EDWARD OXER PH.D./LICENSED PSYCH 1386600971
WENDY MACFARLAND NICHOLSON LLP 1780613513
JENNIFER L GRZEGOREK PHD 1063437044
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.