Doctor Name: | LINDA L LOGAN |
NPI Number: | 1316020837 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCMH |
License Number: | LPCMH 2101 |
Business Practice Address: | 115 E Havens Ave Suite 107 Mitchell, SD - 573014461 |
Business Phone Number: | 6059996162 |
Business Fax Number: | 6059427300 |
Mailing Address: | 115 E Havens Ave, Suite 107 MITCHELL |
State: | SD |
Postal Code: | 573014461 |
Phone Number: | 6059996162 |
Fax Number: | 6059427300 |
NPI Enumeration Date: | 10/21/2006 |
NPI Last Update Date: | 05/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPCMH 2101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |