Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDGAR CHARLES JOHN LONG, PH.D.
Active Sole ProprietorDR. EDGAR CHARLES JOHN LONG, PH.D. is a Family Psychologist healthcare provider located in MT PLEASANT, Michigan. NPI 1902375652 is currently active in the NPPES registry. Verify at CMS.
Family Psychologist · MT PLEASANT, MI
Registration Details
- NPI Number
- 1902375652
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 23, 2018 (7.757144473747 yrs)
- Last Updated
- Nov 23, 2018
- License
-
4101005371 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2163 CORNERSTONE DRMT PLEASANT, MI, 488588029Browse MI providers · Browse ZIP 48858
- Phone
- 9893302417
- Primary Specialty
-
Family Psychologist
103TF0000X
- Additional Specialty
- Family 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.