Provider Demographics
NPI:1295094951
Name:LONG, LINDSEY D (BS)
Entity type:Individual
Prefix:MR
First Name:LINDSEY
Middle Name:D
Last Name:LONG
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5231 PENN AVE
Mailing Address - Street 2:SUITE 224
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1768
Mailing Address - Country:US
Mailing Address - Phone:412-298-6258
Mailing Address - Fax:412-204-9133
Practice Address - Street 1:5231 PENN AVE
Practice Address - Street 2:SUITE 224
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1768
Practice Address - Country:US
Practice Address - Phone:412-298-6258
Practice Address - Fax:412-204-9133
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator