Dr Edgar Charles John Long, PHD is a
Psychologist - Family based in Mt Pleasant, Michigan. Dr Edgar Charles John Long is licensed to practice in Michigan (license number 4101005371) and his current practice location is
2163 Cornerstone Dr, Mt Pleasant, Michigan. He can be reached at his office (for appointments etc.) via phone at
(989) 330-2417.
NPI number for Dr Edgar Charles John Long is 1902375652 and his current mailing address is 2163 Cornerstone Dr, Mount Pleasant, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902375652.
Healthcare Provider's Profile
Full Name | Dr Edgar Charles John Long |
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Gender | Male |
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Speciality | Psychologist - Family |
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Location | 2163 Cornerstone Dr, Mt Pleasant, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902375652
- Provider Enumeration Date: 11/23/2018
- Last Update Date: 11/23/2018
Medical Identifiers
Medical identifiers for Dr Edgar Charles John Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902375652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
103TF0000X | Psychologist - Family | 4101005371 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edgar Charles John Long is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Edgar Charles John Long, PHD 2163 Cornerstone Dr, Mount Pleasant, MI 48858-8029 Ph: (989) 330-2417 | Dr Edgar Charles John Long, PHD 2163 Cornerstone Dr, Mt Pleasant, MI 48858-8029 Ph: (989) 330-2417 |
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