Whalio Doctors

NPI 1023694379

Brian Thomas Longwell, PSYD

Practitioner Clinical Psychologist Evansville, IN

Practice location

Address
120 SE 4th St, Evansville, IN 47708-1607
Phone
(812) 426-9862
Fax
(812) 426-9779
Mailing address
PO Box 1510, Evansville, IN 47706-1510

Registered specialties (2)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20042512A (IN)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 20042512A (IN)

Registry record

NPI
1023694379
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Mar 2021
Record last updated
31 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.