MRS. LISA JAYNE LONG MA CCC-S
NPI 1205013695
Speech-Language Pathologist in Logan, WV

Active since January 28, 2008
506 HOLLY AVE, LOGAN, WV 25601(304) 792-2073(304) 752-7471 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Lisa Jayne Long Ma Ccc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA JAYNE LONG MA CCC-S (NPI 1205013695) is an individual speech-language pathologist provider in Logan, West Virginia, licensed in West Virginia (12089807) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1205013695
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. LISA JAYNE LONGCredential: MA CCC-S
Location Address506 HOLLY AVELogan, WV 25601-3306
Mailing Address158 Nighbert AveLogan, WV 25601-4003 · (304) 752-8962
Fax(304) 752-7471
Sole ProprietorYes
Enumeration DateJanuary 28, 2008
NPI 1205013695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in WV · 12089807
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

506 HOLLY AVE, Logan, WV 25601

Other Identifiers 1

Medicaid7402318000WV

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
506 HOLLY AVE
LOGAN, WV 25601
Registered Nurse (School)
506 HOLLY AVE
LOGAN, WV 25601
Speech-Language Pathologist
506 HOLLY AVE
LOGAN, WV 25601
Psychologist
506 HOLLY AVE
LOGAN, WV 25601
Speech-Language Pathologist
506 HOLLY AVE
LOGAN, WV 25601
Registered Nurse
506 HOLLY AVE
LOGAN, WV 25601
Speech-Language Pathologist
506 HOLLY AVE
LOGAN, WV 25601
Occupational Therapist
506 HOLLY AVE
LOGAN, WV 25601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Long's NPI number?

The NPI number for Lisa Long is 1205013695. It was assigned to this individual provider in the NPPES registry on January 28, 2008.

Where is Lisa Long located?

Lisa Long practices at 506 Holly Ave, Logan, WV 25601. The listed phone number is (304) 792-2073.

What is Lisa Long's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Lisa Long was last updated on January 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.