Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL THOMAS LONG, PSYD
Active Sole ProprietorDR. MICHAEL THOMAS LONG, PSYD is a Clinical Psychologist healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1790336998 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1790336998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2019 (6.8743082558112 yrs)
- Last Updated
- May 4, 2024
- License
-
PS018844 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
255 S 17TH ST STE 804PHILADELPHIA, PA, 191036208Browse PA providers · Browse ZIP 19103
- Phone
- 7203395526
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. MARILYN LUBER | PH.D. | 1558354480 |
| KATHERINE J MILLER | PH.D | 1356334940 |
| B JANET HIBBS | PH.D | 1760475305 |
| FRANCES BONDS-WHITE | ED.D | 1225022403 |
| DEBORAH FRAZER | PH.D | 1629062476 |
| DR. JEFFREY S. GRAND | PSY.D. | 1619953361 |
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.