Doctor Name: | MRS. GAYE LYNN LONG |
NPI Number: | 1578730883 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSE, CCC-SLP |
License Number: | 541 |
Business Practice Address: | 2200 N Poplar St North Little Rock, AR - 721142322 |
Business Phone Number: | 5017718042 |
Business Fax Number: | |
Mailing Address: | 1724 Osceola Dr, NORTH LITTLE ROCK |
State: | AR |
Postal Code: | 721164531 |
Phone Number: | 5018330337 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2008 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |