Individual provider · Type 1 NPI

Jody Long, LPA, LCAS, CCS

Clinical Psychologist · Wilmington, NC

NPI number 1386035814 Active

Practice location

116 Elliott Dr
Wilmington, NC 28405-8433

Fax (910) 338-0495

Mailing address

PO Box 4682
Wilmington, NC 28406-1682

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X4690 (NC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1386035814

Jody Long, LPA, LCAS, CCS's National Provider Identifier is 1386035814, issued on Feb 5, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Wilmington, NC. The record was last updated on Aug 9, 2022.