Organization Name: | LOGAN COMMUNITY RESOURCES INC |
NPI Number: | 1265802979 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT MCFARLAND (CONTRACT SPECIALIST) |
Mailing Address: | 6339 Atlantic Ave Kalamazoo |
State: | MI US |
Postal Code: | 490099572 |
Phone Number: | 2693539533 |
Fax Number: | 2693539566 |
NPI Enumeration Date: | 10/07/2015 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | L893994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |