KELLY LONGACKER, MSED, CAS, NCSP
Psychologist - School
Active
Individual
NPI: 1689935603
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - School | 103TS0200X | Yes | 508536112 (NY) |
Frequently Asked Questions
NPI 1689935603 is the National Provider Identifier for KELLY LONGACKER, MSED, CAS, NCSP, a Psychologist - School provider located in Albany, NY. This NPI was enumerated on June 6, 2012.
KELLY LONGACKER, MSED, CAS, NCSP practices at 1 RAPP RD, Albany, NY 12203.
Quick Facts
- NPI
- 1689935603
- Type
- Individual
- Enumerated
- Jun 6, 2012
- Last Updated
- Jun 6, 2012
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