C FREDERICK DE LONG (NPI# 1174538581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174538581 |
| Entity Type | Individual |
| Full Name | C FREDERICK DE LONG |
| Other Name | FRED DE LONG |
| Credential | PH.D. |
| Practice Address |
14 Forest Rd Wayne PA 19087-3204 |
| Practice Telephone | 6106880418 |
| Mailing Telephone | 6106880418 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PS006601L | PA | Behavioral Health & Social Service Providers |
| Street Address |
14 FOREST RD |
| City | WAYNE |
| State | PA |
| Zip Code | 19087-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033126461 | Paula Thomas Delong | Psychologist | 14 Forest Rd, Wayne, PA 19087-3204 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023594595 | Nuha M Matari | Psychologist | 8713 Brittany Dr, Wayne, NJ 07470-8506 | 2018-07-17 |
| 1699335034 | Toby G Needleman | Psychologist | 987 Old Eagle School Rd Ste 719, Wayne, PA 19087-1708 | 2019-06-18 |
| 1043570187 | Kristle R. White | Psychologist | 35640 W Michigan Ave, Wayne, MI 48184-1628 | 2012-05-23 |
| 1386915973 | Woman2woman Psychotherapy | Psychologist | 341 Homestead Rd, Wayne, PA 19087-2431 | 2012-01-13 |
| 1477798353 | Elisabeth Sherman Slate | Psychologist | 121 N Wayne Ave, Suite 300, Wayne, PA 19087-3542 | 2008-12-08 |
| 1932255205 | Karen L. Schwartz | Psychologist | 987 Old Eagle School Rd, Suite 712, Wayne, PA 19087-1708 | 2007-01-26 |
| 1104913177 | Thomas Edward Haefner | Psychologist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-09 |
| 1033126461 | Paula Thomas Delong | Psychologist | 14 Forest Rd, Wayne, PA 19087-3204 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368260 | Marilia Marien | Psychologist | 713 Buck Ln, Haverford, PA 19041-1201 | 2020-08-31 |
| 1952914897 | Integrated Psychotherapy & Assessment Practice of Pennsylvania | Psychologist | 405 S 62nd St, Philadelphia, PA 19143-1031 | 2020-08-29 |
| 1891308706 | Yuhong He | Psychologist | 34 Overlook Cir, Garnet Valley, PA 19060-2248 | 2020-08-28 |
| 1205449873 | Yacob T Tekie | Psychologist | 3637 Chestnut St, Philadelphia, PA 19104-2612 | 2020-08-24 |
| 1891315750 | Anne Patricia Myers | Psychologist | 605 W Street Rd, Warminster, PA 18974-3214 | 2020-04-21 |
| 1326673120 | Life Line Community Ministries LLC | Psychologist | 9398 Birch Ln, Tobyhanna, PA 18466-3846 | 2020-03-12 |
| 1669005203 | North Shore Counseling Services | Psychologist | 901 Western Ave Ste 202, Pittsburgh, PA 15233-1719 | 2020-02-21 |
| 1184274946 | St. Luke's Hospital | Psychologist | 512 Bank Street, Bowmanstown, PA 18030 | 2019-09-13 |
| 1780241661 | Gregory Tucker | Psychologist | 780 E Market St Ste 220&230, West Chester, PA 19382-4882 | 2019-05-25 |
| 1023674199 | Kara Mcquaid | Psychologist | 555 Second Ave Ste B-300, Collegeville, PA 19426-3636 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.