NPI 1003207259 DIANE LOGAN PHD WARWICK RI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Diane Logan - NPI: 1003207259

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DIANE LOGAN
NPI Number: 1003207259
Entity Type Code: Individual (1)
Gender: F
Credentials: PHD
License Number: PS01491
Business Practice Address: 75 Lambert Lind Hwy
120-100 Warwick, RI - 028861131
Business Phone Number: 4016814274
Business Fax Number: 4016814285
Mailing Address: 75 Lambert Lind Hwy, 120-100
WARWICK
State: RI
Postal Code: 028861131
Phone Number:
Fax Number:
NPI Enumeration Date: 02/10/2015
NPI Last Update Date: 02/11/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 103TC0700X
License Number: PS01491
Healthcare Provider Taxonomy:
(Secondary)
Y
State: RI
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Psychologist
Taxonomy Specialization: Clinical
Taxonomy Definition:


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