Provider Demographics
NPI:1972788958
Name:LONG, KATIE ANNE (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:ANNE
Last Name:LONG
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 PENN AVE
Mailing Address - Street 2:FACULTY PAVILION SUITE 1200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1334
Mailing Address - Country:US
Mailing Address - Phone:412-692-3475
Mailing Address - Fax:412-692-7073
Practice Address - Street 1:4401 PENN AVE
Practice Address - Street 2:FACULTY PAVILION SUITE 1200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1334
Practice Address - Country:US
Practice Address - Phone:412-692-3475
Practice Address - Fax:412-692-7073
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS