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General NPI Number Information
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NPI Number | 1962295246
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Entity Type | Organization
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Legal Business Name | STEPHANIE LONG, PSY D LLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1821 OREGON PIKE STE 210
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City | LANCASTER
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State | PA
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Zip | 17601-6467
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Country | US
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Telephone | 717-208-2246
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 OREGON PIKE STE 210
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City | LANCASTER
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State | PA
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Zip | 17601-6467
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Country | US
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Telephone | 717-208-2246
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHANIE LONG
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Credential | PSY D.
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Telephone | 717-208-2246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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