Individual provider · Type 1 NPI

Lisa Jayne Long, MA CCC-S

Speech-Language Pathologist · Logan, WV

NPI number 1205013695 Active

Practice location

506 Holly Ave
Logan, WV 25601-3306

Call (304) 792-2073 Map

Fax (304) 752-7471

Mailing address

158 Nighbert Ave
Logan, WV 25601-4003

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X12089807 (WV)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1205013695

Lisa Jayne Long, MA CCC-S's National Provider Identifier is 1205013695, issued on Jan 28, 2008. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Logan, WV. The record was last updated on Jan 28, 2008.