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Mrs. Lisa Jayne Long, MACCC-S
Speech-Language Pathologist in Logan, West Virginia
NPI 1205013695

Lisa Jayne Long is a Speech-Language Pathologist based in Logan, WV. Lisa Jayne Long practices in Logan, WV and has the professional credentials of MACCC-S. The NPI Number for Lisa Jayne Long is 1205013695 and holds a License No. 12089807 (West Virginia).

The current practice location address for Lisa Jayne Long is 506 Holly Ave, Logan, WV and can be reached out via phone at 304-792-2073 and via fax at 304-752-7471. You can also correspond with Lisa Jayne Long through the mailing address at 158 NIGHBERT AVE, LOGAN, WV - 25601-4003 (mailing address contact number: 304-752-8962).

Location: 506 Holly Ave, Logan, WV, 25601-4003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205013695
Provider Name
Lisa Jayne Long
Credential
MACCC-S
Provider Entity Type
Individual
Gender
Female
Address
506 Holly Ave, Logan, WV, 25601-4003
Phone Number
304-792-2073
Fax Number
304-752-7471
Provider Enumeration Date
01/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7402318000 05 WV
institution
Provider Business Practice Location Address Details
Address
506 Holly Ave
City
Logan
State
West Virginia
Zip
25601-3306
Phone Number
304-792-2073
Fax Number
304-752-7471
person
Provider Business Mailing Address Details
Address
506 Holly Ave
City
Logan
State
West Virginia
Zip
25601-3306
Phone Number
304-792-2073
Fax Number
304-752-7471
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
12089807 (West Virginia)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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