DR. BRIAN TIMOTHY LONG PHD NPI 1962023879

NPI Information

NPI: 1962023879
Provider Name: DR. BRIAN TIMOTHY LONG, PHD
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
413 E DIXIE AVE STE 106
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 319-9899
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DR. Brian Timothy Long, PHD is a mental health counselor in Elizabethtown, KY. DR. Brian Timothy Long, PHD NPI is 1962023879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

413 E DIXIE AVE STE 106
ELIZABETHTOWN, KY
ZIP 42701-162
Phone: (270) 319-9899

The enumeration date for this NPI number is 5/1/2020 and was last updated on 5/4/2020.

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	101YM0800X	Counselor	Mental Health	262683	KENTUCKY	Yes

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: 4/28/2024

NPI Synchronization or Removal

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