MARY CATHERINE LONG (NPI# 1669816070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669816070 |
| Entity Type | Individual |
| Full Name | MARY CATHERINE LONG |
| Credential | PH.D. |
| Practice Address |
1709 Woodview Cir Pelham AL 35124-1021 |
| Practice Telephone | 2055413679 |
| Practice Fax Number | 2054449190 |
| Mailing Telephone | 2055413679 |
| Mailing Fax Number | 2054449190 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 11003RE | GA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447618947 | Mary Elizabeth Long | Registered Nurse | 11164 Maggie Ln, Marion, IL 62959-7761 | 2016-01-29 |
| 1902218126 | Mary Beth Long | Speech-Language Pathologist | 225 Lincoln St Sw, Hartville, OH 44632-9382 | 2014-05-22 |
| 1528353760 | Mary Kathryn Long | Counselor | 11209 Casey Rd, Tampa, FL 33618-5306 | 2011-06-16 |
| 1295877033 | Mary Lavonne Long | Nurse Practitioner | 3969 S Cobb Dr Se Ste 206, Smyrna, GA 30080-6317 | 2007-02-12 |
| 1972653863 | Mary A Long | Counselor | 409 Gibson Ln, Richmond, KY 40475-2577 | 2007-01-11 |
| 1659311199 | Mary L Long | Anesthesiology | 233 Bristol Rd, Wellesley, MA 02481-2603 | 2006-06-06 |
| 1952300170 | Mary Nash Long | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939 | 2005-07-19 |
| 1548869779 | Mary Susan Long | Physical Therapist | 3960 State Route 30, Latrobe, PA 15650-5518 | 2020-10-19 |
| 1053923813 | Mary Long | Behavior Technician | 11698 Huron St, Suite 106, Northglenn, CO 80234-2920 | 2020-08-21 |
| 1730727595 | Mary Long | Behavior Technician | 600 W Cummings Park Ste 1800, Woburn, MA 01801-6433 | 2019-12-11 |
| Street Address |
1709 WOODVIEW CIR |
| City | PELHAM |
| State | AL |
| Zip Code | 35124-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1376184598 | Benjamin Mcdaniel | Pharmacist | Wal Mart Pharmacy, 2181 Pelham Pkwy, Pelham, AL 35124 | 2019-09-30 |
| 1710545611 | Comfort Dental Care of Pelham LLC | Dentist | 102 Hilltop Business Center Dr, Pelham, AL 35124 | 2019-06-05 |
| 1285124875 | Alabama Tongue-tie Center Inc. | Dentist | 2480 Pelham Pkwy, Pelham, AL 35124 | 2018-05-18 |
| 1831690684 | Lori Ellen Gardner | Counselor | 201 Yeager Pkwy, Pelham, AL 35124 | 2018-02-27 |
| 1184146177 | Rural Urgent Care LLC | Clinic/Center | 300 Big Mountain Rd, Pelham, AL 35124 | 2017-07-11 |
| 1194246330 | Shelby County Health Dept Std | Public Health or Welfare | 2000 County Services Drive, Pelham, AL 35124 | 2017-06-28 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1700266475 | Thrive Behavioral Services, LLC | Behavioral Analyst | 3183 E Pelham Parkway, Pelham, AL 35124 | 2015-06-08 |
| Find all providers in zip 35124 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710399464 | Sharon Velez Erickson | Specialist/Technologist, Other | 64 Red Cloud Rd, Fort Rucker, AL 36362-2324 | 2014-05-29 |
| 1235560046 | Tiffany-rae Lani Oglesby | Specialist/Technologist, Other | 795 County Road 148, New Brockton, AL 36351-8106 | 2013-12-04 |
| 1194026328 | Sonya Lee Ketcham | Specialist/Technologist, Other | 403 Dothan Rd, Abbeville, AL 36103 | 2010-11-04 |
| 1336371533 | Antonio Contes | Specialist/Technologist, Other | Bldg. 301, Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2009-08-20 |
| 1639347008 | Terrence Arashi Elliott | Specialist/Technologist, Other | Andrews Ave, Bldg 301, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2008-02-19 |
| 1891963260 | Harvey Gayloyd Landy Sr. | Specialist/Technologist, Other | Bldg 301, Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2008-02-19 |
| 1386812964 | Judith Annette Barnes | Specialist/Technologist, Other | Bldg 301 Andrews Ave., Fort Rucker, AL 36362 | 2008-02-15 |
| 1275140642 | Allen Looney | Specialist/Technologist, Other | 700 19th St S, Birmingham, AL 35233-1927 | 2020-09-29 |
| 1770190217 | Robert Lewis Logan IIi | Specialist/Technologist, Other | 700 19th Street South, Neurology Sleep Service Suite 127, Birmingham, AL 35233 | 2020-09-29 |
| 1407461023 | Marc Marley | Specialist/Technologist, Other | 1022 1st St N, Alabaster, AL 35007-8706 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY CATHERINE 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.