Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Harriett Gayle Long, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1215610886

Mrs. Harriett Gayle Long, CCC-SLP is a Qualified Speech Language Pathologist in Bentonville, Arkansas. Qualified in 2023, 3 years ago. Practices with Key Rehabilitation Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2023
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2713 SE I St Ste 5
Bentonville, AR 72712-0078
Phone: (479) 250-4355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2023027329 (MO)

Record details

NPI number1215610886
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Key Rehabilitation Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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