location
search-icon
person
Dr. Stephanie Marie Long, PHD,MSCP,ABPP
Clinical Psychologist in Providence Forge, Virginia
NPI 1407125511

Stephanie Marie Long is a Clinical Psychologist based in Providence Forge, VA and is specialized in Clinical. Stephanie Marie Long practices in Providence Forge, VA and has the professional credentials of PHD,MSCP,ABPP. The NPI Number for Stephanie Marie Long is 1407125511 and holds a License No. 04975 (Virginia).

The current practice location address for Stephanie Marie Long is 3530 N Courthouse Rd, Providence Forge, VA and can be reached out via phone at 804-409-7525 and via fax at 804-315-9380.

Location: 3530 N Courthouse Rd, Providence Forge, VA, 23140-3408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407125511
Provider Name
Stephanie Marie Long
Credential
PHD,MSCP,ABPP
Provider Entity Type
Individual
Gender
Female
Address
3530 N Courthouse Rd, Providence Forge, VA, 23140-3408
Phone Number
804-409-7525
Fax Number
804-315-9380
Provider Enumeration Date
12/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3530 N Courthouse Rd
City
Providence Forge
State
Virginia
Zip
23140-3408
Phone Number
804-409-7525
Fax Number
804-315-9380
person
Provider Business Mailing Address Details
Address
3530 N Courthouse Rd
City
Providence Forge
State
Virginia
Zip
23140-3408
Phone Number
804-409-7525
Fax Number
804-315-9380
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
311244 (Louisiana)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
04975 (Maryland)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.