National Provider Identifier Database

DUSTIN M LOGAN, PHD – NPI #1851578512
Clinical Neuropsychologist

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.


Contact Information

DUSTIN M LOGAN, PHD
8201 N MICHAELSON ST
PALMER, AK99645-8196
Phone: 907-745-5066
Fax: 877-640-1413
Website:
Specialty Taxonomy Code
* Clinical Neuropsychologist 103G00000X
Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for DUSTIN M LOGAN

NPI Number 1851578512
Credentials PHD
Entity Individual
Enumeration date 01/24/2008
Last updated 04/24/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • AK License #: 121536
  • WA License #: 60616291
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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