Imani Long, is a
Psychologist - Family based in West Covina, California. Imani Long is licensed to practice in * (Not Available) (license number ) and her current practice location is
4141 S Nogales St, West Covina, California. She can be reached at her office (for appointments etc.) via phone at
(833) 831-8946.
NPI number for Imani Long is 1053174201 and her current mailing address is 13462 Firestone St, Hesperia, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053174201.
Healthcare Provider's Profile
Full Name | Imani Long |
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Gender | Female |
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Speciality | Psychologist - Family |
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Location | 4141 S Nogales St, West Covina, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053174201
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 01/31/2024
Medical Identifiers
Medical identifiers for Imani Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053174201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103TS0200X | Psychologist - School | (* (Not Available)) | Secondary |
103TF0000X | Psychologist - Family | (* (Not Available)) | 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. Imani 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 |
Imani Long, 13462 Firestone St, Hesperia, CA 92344-9416 Ph: (442) 433-7185 | Imani Long, 4141 S Nogales St, West Covina, CA 91792-3056 Ph: (833) 831-8946 |
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