CHRYSTAL T LONG NPI 1477716728

NPI Information

NPI: 1477716728
Provider Name: CHRYSTAL T LONG
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
415 MAIN ST
WEST HAVEN, CT
ZIP 06516
Phone: (203) 931-1184
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Chrystal T Long is a professional counselor in West Haven, CT. Chrystal T Long NPI is 1477716728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 MAIN ST
WEST HAVEN, CT
ZIP 06516-296
Phone: (203) 931-1184
Fax: (203) 931-1184

The enumeration date for this NPI number is 7/8/2008 and was last updated on 4/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2045	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004235918	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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