Doctor Name: | CARRIE LOGAN |
NPI Number: | 1073843157 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP#P8293 |
Business Practice Address: | 711 Clinton St Arkadelphia, AR - 719235921 |
Business Phone Number: | 8702467928 |
Business Fax Number: | |
Mailing Address: | 3000 Ponderosa Trl, BISMARCK |
State: | AR |
Postal Code: | 719296191 |
Phone Number: | 5018653496 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2010 |
NPI Last Update Date: | 01/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#P8293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |