NPI 1659385813 · live from the CMS NPI Registry
Alica Long, M.A. CCC-A
Audiologist in Gillette, WY. National Provider Identifier 1659385813, active.
NPI record
| NPI | 1659385813 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 202 Ross Ave, Gillette, WY 82716 |
| Practice phone | 307-689-3611 |
| Enumerated | July 27, 2006 |
| Last updated | November 19, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A-973 (WY) |
| Audiologist primary | 231H00000X | A-973 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.