Ann Logan PHD

NPI 1568461168 - Psychologist - 103T00000X

NPI Details
NPI 1568461168
Gender Female
Enumeration Date 07/18/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
99 TAVERN RD
MARTINSBURG WV, 25401-2890, US
Phone (304) 263-4999
Fax (304) 263-0984
Business Location
99 TAVERN RD
MARTINSBURG WV, 25401-2890, US
Phone (304) 263-4999
Fax (304) 263-0984
Toxanomy
Taxonomy Code 103T00000X
License State West Virginia
License Number 726
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According to our database, Ann Logan PHD NPI is 1568461168, taxonomy code is 103T00000X and license number is 726, license state is located at West Virginia. Ann Logan PHD physically located at 99 Tavern Rd, Martinsburg WV, 25401-2890. NPI Number Ann Logan PHD has the Individual type.

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1568461168 NPI number is provided on an as is basis without warranty of any kind. 1568461168 is maintained by the National Plan & Provider Enumeration System. The contents of Ann Logan PHD are for informational purposes only.