Search › Michigan › 106S00000X
Phonecia Long
NPI 1255153631 · on the registry since 2024
Practice
- Address
- 4410 W 13 Mile Rd
Royal Oak, MI 48073 - Phone
- (313) 720-1305
- Organisation at this address
- Judson Center, Inc.
Judson Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 98
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan