Active NPIIndividual providerSole proprietor

Kristin A Long, PHD

Psychologist, Clinical in Brookline, Massachusetts

NPI Number1508380932
Practice location
124 Harvard St, Brookline, MA 02446-6478
Fax
—
Last updated
July 27, 2017

Kristin Ann Long is a Psychologist, Clinical based in Brookline, MA. Kristin Ann Long practices in Brookline, MA and has the professional credentials of PHD. The NPI Number for Kristin Ann Long is 1508380932 and holds a License No. ps01422 (RI). The current practice location address for Kristin Ann Long is 124 Harvard St, Brookline, MA 02446-6478 and can be reached out via phone at 610-349-4202.

Provider Profile Details

NPI Number
1508380932
Provider Name
Kristin Ann Long
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
124 Harvard St, Brookline, MA 02446-6478
Phone Number
610-349-4202
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 27, 2017
Last Update Date
July 27, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
124 Harvard St
Brookline, MA 02446-6478
Zip
02446-6478
Phone Number
610-349-4202
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
13 Eagan Pl
Peabody, MA 01960-5674
City
Peabody
State
MA
Zip
01960-5674
Phone Number
610-349-4202

License Information

License Number (1)
ps01422
License State (1)
RI
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
10128
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristin A Long, PHD?

The NPI number of Kristin A Long, PHD is 1508380932. It was assigned on July 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Kristin A Long, PHD?

Kristin A Long, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number ps01422.

Where does Kristin A Long, PHD practice?

The practice location is 124 Harvard St, Brookline, MA 02446-6478. The office can be reached at 610-349-4202 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508380932 directly on the NPPES registry website.

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