Rodney Long, is a
Speech-language Pathologist based in Leakesville, Mississippi. Rodney Long is licensed to practice in Mississippi (license number S2476) and his current practice location is
1300 Melody Ln, Leakesville, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 394-2331.
NPI number for Rodney Long is 1134663941 and his current mailing address is 1300 Melody Ln, Leakesville, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134663941.
Healthcare Provider's Profile
| Full Name | Rodney Long |
|---|
| Gender | Male |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 1300 Melody Ln, Leakesville, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134663941
- Provider Enumeration Date: 12/13/2016
- Last Update Date: 12/13/2016
Medical Identifiers
Medical identifiers for Rodney Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134663941 | NPI | - | NPPES |
| SL011342 | Other | PA | PA SPEECH THERAPY LICENSE |
| 10449 | Other | NC | NORTH CAROLINA SPEECH THERAPY LICENSE |
| 3444 | Other | AL | AL SPEECH THERAPY LICENSE |
| SLP008471 | Other | GA | GEORGIA SPEECH THERAPY LICENSE |
| 3843-154 | Other | WI | WI SPEECH THERAPY LICENSE |
| S2476 | Other | MS | MS SPEECH THERAPY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | S2476 (Mississippi) | Primary |
| 235Z00000X | Speech-language Pathologist | SL011342 (Pennsylvania) | Secondary |
| 235Z00000X | Speech-language Pathologist | 3843-154 (Wisconsin) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP008471 (Georgia) | Secondary |
| 235Z00000X | Speech-language Pathologist | 3444 (Alabama) | Secondary |
| 235Z00000X | Speech-language Pathologist | 10449 (North Carolina) | Secondary |
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. Rodney 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 |
|---|
Rodney Long,
1300 Melody Ln,
Leakesville, MS 39451-6530
Ph: () - | Rodney Long,
1300 Melody Ln,
Leakesville, MS 39451-6530
Ph: (601) 394-2331 |
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