Provider Demographics
NPI:1093507048
Name:E. EUGENE DELONG, PH.D. LLC
Entity type:Organization
Organization Name:E. EUGENE DELONG, PH.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:DELONG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-606-2904
Mailing Address - Street 1:313 W LIBERTY ST STE 363
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2798
Mailing Address - Country:US
Mailing Address - Phone:717-606-2904
Mailing Address - Fax:
Practice Address - Street 1:313 W LIBERTY ST STE 363
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2798
Practice Address - Country:US
Practice Address - Phone:717-606-2904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-17
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty