Dr Amelia Rose Long, PHD is a
Psychologist based in Williston, North Dakota. Dr Amelia Rose Long is licensed to practice in North Dakota (license number 189) and her current practice location is
316 2nd Ave W, Williston, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 774-4600.
NPI number for Dr Amelia Rose Long is 1922191014 and her current mailing address is 1123 7th Ave E, Williston, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922191014.
Healthcare Provider's Profile
Full Name | Dr Amelia Rose Long |
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Gender | Female |
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Speciality | Psychologist |
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Location | 316 2nd Ave W, Williston, North Dakota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922191014
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Amelia Rose Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922191014 | NPI | - | NPPES |
54516 | Medicaid | ND | |
005291 | Other | | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 189 (North Dakota) | 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. Dr Amelia Rose 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 Address | Practice Location Address |
Dr Amelia Rose Long, PHD 1123 7th Ave E, Williston, ND 58801 Ph: (701) 774-2031 | Dr Amelia Rose Long, PHD 316 2nd Ave W, Williston, ND 58801 Ph: (701) 774-4600 |
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