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Contact Information

DIANE LOGAN, PHD, CSAC
75-5751 KUAKINI HWY STE 104
KAILUA-KONA, HI96740-1705
 Phone: 808-326-5629
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DIANE LOGAN · (Female)

NPI # 1003207259
Status Active
Credentials PHD, CSAC
Entity Individual
Enumeration date 02/10/2015
Last updated 03/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • HI License # 2055-19
  • HI License # 2055-19I
  • HI License # PSY-1550
Hospital affiliation(s) Not Available
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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