CAROLYN ANN LONG (NPI# 1073013124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073013124 |
| Entity Type | Individual |
| Full Name | CAROLYN ANN LONG |
| Credential | SLP |
| Practice Address |
74 Edgewood Dr Stanleytown VA 24168-3001 |
| Mailing Address |
72 Terrace Garden Dr Apt 1 Collinsville VA 24078-1126 |
| Practice Telephone | 2766295084 |
| Mailing Telephone | 2766295084 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202004067 | VA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770863581 | Carolyn S Long | Speech-Language Pathologist | 1104 Mount Ellis Lane, Bozeman, MT 59715 | 2011-08-24 |
| 1720518095 | Carolyn Marie Long | Family Medicine | 13600 E 86th St N Ste 100, Owasso, OK 74055-8732 | 2017-06-19 |
| 1124182274 | Carolyn H Long | Nurse Practitioner | 2100 W Pennsylvania Ave, Washington, DC 20037-3202 | 2006-12-21 |
| Street Address |
74 EDGEWOOD DR |
| City | STANLEYTOWN |
| State | VA |
| Zip Code | 24168-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427383314 | Family Preservation Services, Inc | Community/Behavioral Health | 74 Edgewood Dr, Stanleytown, VA 24168-3001 | 2009-10-09 |
| 1508366154 | Cathy Martin | Speech-Language Pathologist | 74 Edgewood Dr, Stanleytown, VA 24168-3001 | 2018-02-20 |
| 1225538259 | Deana Johnson | Psychologist | 74 Edgewood Dr, Stanleytown, VA 24168-3001 | 2018-02-16 |
| 1639679798 | Renee E Sexton | Psychologist | 74 Edgewood Dr, Stanleytown, VA 24168-3001 | 2018-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346321007 | Family Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 335 Riverside Dr., Stanleytown, VA 24168 | 2006-10-18 |
| 1003898586 | Mark O Okafor | Occupational Therapist | 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 | 2005-11-18 |
| 1417589961 | Kaitlyn Wood | Occupational Therapist | 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 | 2020-02-12 |
| 1487205050 | Ashley Zimmerman | Physical Therapist | 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 | 2019-09-25 |
| 1639660822 | Summer Hoyle | Physical Therapist | 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 | 2018-05-23 |
| 1477043982 | Laura Burke | Physical Therapist | 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 | 2018-05-10 |
| 1336558907 | Samantha L. Giles | Physical Therapist | 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 | 2014-08-08 |
| 1487895348 | O&w Enterprises | Clinic/Center | 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 | 2009-03-23 |
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508366154 | Cathy Martin | Speech-Language Pathologist | 74 Edgewood Dr, Stanleytown, VA 24168-3001 | 2018-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164562 | Madeline Summer Seymour | Speech-Language Pathologist | 315 Flyfoot Dr, Stephenson, VA 22656-1795 | 2020-11-05 |
| 1003417635 | Jaclyn Renae Melson | Speech-Language Pathologist | 1201 Broad Rock Blvd Bldg 514, Richmond, VA 23224-4915 | 2020-11-02 |
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1730789090 | Leah Condemi | Speech-Language Pathologist | 1602 Belle View Blvd # 735, Alexandria, VA 22307-6531 | 2020-10-27 |
| 1780282152 | Rachel Tsipora Chalom | Speech-Language Pathologist | 10565 Fairfax Blvd Ste 200, Fairfax, VA 22030-3104 | 2020-10-16 |
| 1023616786 | Sydney Miller | Speech-Language Pathologist | 115 Summerglen Rdg, Newport News, VA 23602-8319 | 2020-10-15 |
| 1295333433 | Ann Lockard Douthat | Speech-Language Pathologist | 3613 Graham Park Rd, Triangle, VA 22172-1101 | 2020-10-10 |
| 1326646688 | Kariin Timmons | Speech-Language Pathologist | 127 Peachtree Ln, Hampton, VA 23669-2203 | 2020-10-09 |
| 1679170880 | Carrington Croft Mulrooney | Speech-Language Pathologist | 10046 Oldfield Dr, Richmond, VA 23235-1812 | 2020-10-01 |
| 1710594940 | Madison Antus | Speech-Language Pathologist | 15201 Neabsco Mills Rd, Woodbridge, VA 22191-4005 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | STANLEYTOWN |
| Zip Code | 24168 |
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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.