PAUL C LONG (NPI# 1710936026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710936026 |
Entity Type | Individual |
Full Name | PAUL C LONG |
Credential | PH D |
Practice Address |
6400 Lee Hwy St 110 Chattanooga TN 37421-2452 |
Mailing Address |
Po Box 22487 Chattanooga TN 37422-2487 |
Practice Telephone | 4238995081 |
Practice Fax Number | 4234900410 |
Mailing Telephone | 4238995081 |
Mailing Fax Number | 4234900410 |
Enumeration Date | 2006-05-06 |
Last Update Date | 2013-02-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1056 | TN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790095644 | Paul Demars Long | Orthopaedic Surgery | 206 Manchester Pl, Greensboro, NC 27410-6082 | 2010-10-13 |
1982927679 | Paul R Long | Registered Nurse | 52 Lockwood Ave, Buffalo, NY 14220-1827 | 2010-03-09 |
1164626354 | Paul Long | Dentist | 1919 Wirt Rd, Houston, TX 77055-2405 | 2007-06-12 |
1629679220 | Paul Long | Durable Medical Equipment & Medical Supplies | 5 Church St, West Warwick, RI 02893-4004 | 2020-11-02 |
1841824729 | Paul Long | Behavior Technician | 3235 S Eastern Ave, Las Vegas, NV 89169-3310 | 2020-02-28 |
1225473226 | Paul Long | Internal Medicine | 801 Massachusetts Avenue, Crosstown 2, Boston, MA 02118 | 2013-05-03 |
1972820355 | Paul Robert Long | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701-7760 | 2010-04-26 |
1336200120 | Paul Stephen Long | Social Worker | 3510 Glenmore Ave, Cincinnati, OH 45211-5420 | 2006-12-13 |
1982798849 | Paul Mccrary Long | Internal Medicine | 89 Main St, Hilton Head Island, SC 29926-6613 | 2006-10-03 |
1588761035 | Paul Alan Long | Registered Nurse | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2006-09-19 |
Street Address |
6400 LEE HWY ST 110 |
City | CHATTANOOGA |
State | TN |
Zip Code | 37421-2452 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821074832 | Timothy A Sisemore | Psychologist | 6400 Lee Hwy, Ste 106, Chattanooga, TN 37421-2452 | 2005-12-21 |
1093165169 | Meredith Casada | Social Worker | 6400 Lee Hwy, Suite 106, Chattanooga, TN 37421-2452 | 2016-06-20 |
1992041180 | Jennifer Lynn Coleman | Social Worker | 6400 Lee Hwy, Suite 110, Chattanooga, TN 37421-2452 | 2012-12-17 |
1669651709 | Lyn R Owen | Counselor | 6400 Lee Hwy, Suite 106, Chattanooga, TN 37421-2452 | 2007-10-25 |
1538362850 | Focus Psychiatric Services PC | Counselor | 6400 Lee Hwy, St 110, Chattanooga, TN 37421 | 2007-06-06 |
1760693139 | Farlie Preston Lavon Chastain | Social Worker | 6400 Lee Hwy, Suite 110, Chattanooga, TN 37422 | 2007-05-25 |
1154417285 | Laura D Huddleston | Counselor | 6400 Lee Hwy, St 110, Chattanooga, TN 37421-2452 | 2006-10-05 |
1093761538 | Jennifer L Mazzei | Counselor | 6400 Lee Hwy, Suite 110, Chattanooga, TN 37421-2452 | 2006-05-26 |
1972554293 | Robin W Howard | Counselor | 6400 Lee Hwy, Chattanooga, TN 37421-2452 | 2006-05-12 |
1073561551 | Janet Robin Huse | Social Worker | 6400 Lee Hwy, St 110, Chattanooga, TN 37421-2452 | 2006-05-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
Find all providers in zip 37421 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
1851692099 | George Henry Bercaw | Psychologist | 1145 N Concord Rd, Chattanooga, TN 37421-3848 | 2010-11-04 |
1023347838 | Mind Matters, LLC | Psychologist | 3146 Broad St, Chattanooga, TN 37408-3095 | 2009-12-08 |
1437357456 | Gaston Therapy, LLC | Psychologist | 112 Jordan Dr, Chattanooga, TN 37421-6802 | 2007-07-11 |
1518183334 | Mark A Womack | Psychologist | 5340 Ringgold Rd Ste 100, Chattanooga, TN 37412-3194 | 2007-04-18 |
1063557106 | David John Caye | Psychologist | 1504a Mccallie Avenue, Chattanooga, TN 37404-0000 | 2007-02-20 |
1992850408 | Kimberlee Caroline Berry-sawyer | Psychologist | 3209 Ozark Cir, Chattanooga, TN 37415-5107 | 2007-01-24 |
1598814394 | Michael Kavkewitz | Psychologist | 6727 Heritage Business Ct, Suite 724, Chattanooga, TN 37421-7015 | 2007-01-09 |
1396809984 | William Alan Wray | Psychologist | 325 Market Street, Suite 305, Chattanooga, TN 37402-1247 | 2006-12-20 |
1316032634 | Carolyn E Davidson | Psychologist | 5751 Uptain Road, Suite 509, Chattanooga, TN 37411 | 2006-10-03 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37421 |
Please comment or provide details below to improve the information on PAUL C LONG.
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.