Mr J David Long, PSYCHOLOGIST DOCTORA - Psychologist in Rutland, VT

Mr J David Long, PSYCHOLOGIST DOCTORA is a Psychologist - Clinical based in Rutland, Vermont. Mr J David Long is licensed to practice in Vermont (license number 0480000309) and his current practice location is 78 S Main St, Rutland, Vermont. He can be reached at his office (for appointments etc.) via phone at (802) 775-8224.

NPI number for Mr J David Long is 1255423927 and his current mailing address is Po Box 686, Middlebury, Vermont. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255423927.

Contact Information

Mr J David Long, PSYCHOLOGIST DOCTORA
78 S Main St,
Rutland, VT 05701-4530
(802) 775-8224
(802) 747-7699

Map and Direction




Healthcare Provider's Profile

Full NameMr J David Long
GenderMale
SpecialityPsychologist - Clinical
Location78 S Main St, Rutland, Vermont
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255423927
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr J David Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255423927NPI-NPPES
9963OtherVTBC/BS
9534MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0480000309 (Vermont)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. Mr J David 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 AddressPractice Location Address
Mr J David Long, PSYCHOLOGIST DOCTORA
Po Box 686,
Middlebury, VT 05753-0686

Ph: (802) 352-9085
Mr J David Long, PSYCHOLOGIST DOCTORA
78 S Main St,
Rutland, VT 05701-4530

Ph: (802) 775-8224

Reviews and Comments


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