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Brian K Long Md, Pllc
Prescribing (Medical) Psychologist in Statesville, North Carolina
NPI 1700018843

Brian K Long Md, Pllc is a Prescribing (Medical) Psychologist based in Statesville, NC and is specialized in Prescribing (Medical). Brian K Long Md, Pllc practices in Statesville, NC. The NPI Number for Brian K Long Md, Pllc is 1700018843 and holds a License No. 200500391 (North Carolina).

The current practice location address for Brian K Long Md, Pllc is 211 S Center St, Statesville, NC and can be reached out via phone at 704-872-2350 and via fax at 704-872-2351. You can also correspond with Brian K Long Md, Pllc through the mailing address at 211 S CENTER ST, STATESVILLE, NC - 28677-5873 (mailing address contact number: 704-872-2350).

Location: 211 S Center St, Statesville, NC, 28677-5873
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700018843
Provider Name
Brian K Long Md, Pllc
Credential
Provider Entity Type
Organization
Address
211 S Center St, Statesville, NC, 28677-5873
Phone Number
704-872-2350
Fax Number
704-872-2351
Provider Enumeration Date
08/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5901922 05 NC
institution
Provider Business Practice Location Address Details
Address
211 S Center St
City
Statesville
State
North Carolina
Zip
28677-5873
Phone Number
704-872-2350
Fax Number
704-872-2351
person
Provider Business Mailing Address Details
Address
211 S Center St
City
Statesville
State
North Carolina
Zip
28677-5873
Phone Number
704-872-2350
Fax Number
704-872-2351
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
200500391 (North Carolina)
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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Similar Doctors in Statesville, North Carolina:

institution
Brian K Long Md, Pllc
NPI 1154552040
Prescribing (Medical) Psychologist
211 S Center St,
STATESVILLE, NC
28677-5873
704-872-2350
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