Mrs Lisa Jayne Long, MA CCC-S - Speech-Language Pathologist in Logan, WV

Mrs Lisa Jayne Long, MA CCC-S is a Speech-language Pathologist based in Logan, West Virginia. Mrs Lisa Jayne Long is licensed to practice in West Virginia (license number 12089807) and her current practice location is 506 Holly Ave, Logan, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 792-2073.

NPI number for Mrs Lisa Jayne Long is 1205013695 and her current mailing address is 158 Nighbert Ave, Logan, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205013695.

Contact Information

Mrs Lisa Jayne Long, MA CCC-S
506 Holly Ave,
Logan, WV 25601-3306
(304) 792-2073
(304) 752-7471



Healthcare Provider's Profile

Full NameMrs Lisa Jayne Long
GenderFemale
SpecialitySpeech-language Pathologist
Location506 Holly Ave, Logan, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205013695
  • Provider Enumeration Date: 01/28/2008
  • Last Update Date: 01/28/2008

Medical Identifiers

Medical identifiers for Mrs Lisa Jayne Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205013695NPI-NPPES
7402318000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 12089807 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Jayne Long is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lisa Jayne Long, MA CCC-S
158 Nighbert Ave,
Logan, WV 25601-4003

Ph: (304) 752-8962
Mrs Lisa Jayne Long, MA CCC-S
506 Holly Ave,
Logan, WV 25601-3306

Ph: (304) 792-2073

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› Verified 2 days ago


Speech-Language Pathologist in Logan, WV

Mrs. Linda M George, MA CCC-S
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 506 Holly Ave, Logan, WV 25601
Phone: 304-792-2060    
Miss Deangela Conley, MA CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 506 Holly Ave, Logan, WV 25601
Phone: 304-792-2073    
Mrs. Catherine Ellen Ferrell, MA SLP CCC
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 506 Holly Ave, Logan, WV 25601
Phone: 304-752-2060    
Mr. Matthew Stephen Campbell, M.S., SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: Route 10 Three Mile Curve Road, Logan, WV 25601
Phone: 304-752-2273    
Mrs. Sabrina Lynne Grace, MS CCC-S
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 506 Holly Ave, Logan, WV 25601
Phone: 304-792-2073    
Mrs. Deborah Lynn Willis, MA CCC SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 506 Holly Ave, Logan, WV 25601
Phone: 304-792-2075    

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