| Beverly Jean Long | |
|
1595 Selby Ave Suite 202 Saint Paul MN 55104-6221 | |
| (651) 253-8438 | |
| Not Available |
| Full Name | Beverly Jean Long |
|---|---|
| Speciality | Psychologist |
| Location | 1595 Selby Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Janet Marie Meulemans (ADMINISTRATIVE ASSISTANT/BILLER) |
| Authorized Official Contact | 6513077865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Jean Long 546 Winona St E Saint Paul MN 55107-2425 Ph: (651) 253-8438 | Beverly Jean Long 1595 Selby Ave Suite 202 Saint Paul MN 55104-6221 Ph: (651) 253-8438 |
| NPI Number | 1588819551 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 11/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588819551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP1680 (Minnesota) | Primary |
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