Kathleen Therese Long, AUD

Audiologist in Georgetown, Texas · NPI 1194409821

Kathleen Long is one of 2 audiologists practicing in Georgetown, Texas. See all audiologists in Texas. Kathleen Long practices with Wondearfully Audacious, LLC.

Registry record (NPPES)

NPI: 1194409821
Type: Type 1 · Individual
Primary taxonomy: Audiologist · 231H00000X
Address on file: 4859 Williams Dr Ste 109
Georgetown, TX 78633-2304
(512) 357-8000
Enumerated: Jun 13, 2023
Record last updated: Sep 13, 2024
License states listed: TX

Medicare (CMS)

Enrollment: Medicare-enrolled in TX
Qualified Audiologist
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

4859 Williams Dr Suite 109
Georgetown, TX 78633
(512) 357-8000

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.