Organization Name: | CLIO LONG, LLC |
NPI Number: | 1801255880 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLIO LONG (OWNER) |
Mailing Address: | 8101 Hinson Farm Rd Ste 117 Alexandria |
State: | VA US |
Postal Code: | 223063404 |
Phone Number: | 7034795610 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2016 |
NPI Last Update Date: | 03/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 0810004025 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |