Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHANIE MARIE LONG, PH.D., MSCP, ABPP
ActiveDR. STEPHANIE MARIE LONG, PH.D., MSCP, ABPP is a Clinical Psychologist healthcare provider located in PROVIDENCE FORGE, Virginia. NPI 1407125511 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PROVIDENCE FORGE, VA
Registration Details
- NPI Number
- 1407125511
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2011 (14.465152335906 yrs)
- Last Updated
- May 6, 2025
- Licenses
-
311244 (LA)810007571 (VA)04975 (MD)
Practice Information
- Address
-
3530 N COURTHOUSE RDPROVIDENCE FORGE, VA, 231403408Browse VA providers · Browse ZIP 23140
- Phone
- 8044097525
- Fax
- 8043159380
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Clinical Psychologist
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.