| Mrs Lisa Jayne Long, MA CCC-S | |
|
506 Holly Ave, Logan, WV 25601-3306 | |
| (304) 792-2073 | |
| (304) 752-7471 |
| Full Name | Mrs Lisa Jayne Long |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 506 Holly Ave, Logan, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205013695 | NPI | - | NPPES |
| 7402318000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 12089807 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Jayne Long, MA CCC-S 158 Nighbert Ave, Logan, WV 25601-4003 Ph: (304) 752-8962 | Mrs Lisa Jayne Long, MA CCC-S 506 Holly Ave, Logan, WV 25601-3306 Ph: (304) 792-2073 |
Mrs. Linda M George, MA CCC-S Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 506 Holly Ave, Logan, WV 25601 Phone: 304-792-2060 | |
Miss Deangela Conley, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 506 Holly Ave, Logan, WV 25601 Phone: 304-792-2073 | |
Mrs. Catherine Ellen Ferrell, MA SLP CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 506 Holly Ave, Logan, WV 25601 Phone: 304-752-2060 | |
Mr. Matthew Stephen Campbell, M.S., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Route 10 Three Mile Curve Road, Logan, WV 25601 Phone: 304-752-2273 | |
Mrs. Sabrina Lynne Grace, MS CCC-S Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 506 Holly Ave, Logan, WV 25601 Phone: 304-792-2073 | |
Mrs. Deborah Lynn Willis, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 506 Holly Ave, Logan, WV 25601 Phone: 304-792-2075 |