Provider Demographics
NPI:1265875595
Name:LONG, BRITTANY KAY (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:KAY
Last Name:LONG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:K
Other - Last Name:NEEF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:13375 UNIVERSITY AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8260
Mailing Address - Country:US
Mailing Address - Phone:515-823-0026
Mailing Address - Fax:
Practice Address - Street 1:13375 UNIVERSITY AVE
Practice Address - Street 2:STE 201
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-8260
Practice Address - Country:US
Practice Address - Phone:515-823-0026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA081827103TH0100X
IA081490103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service