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Contact Information

SCOTT C LOGAN, PhD
2900 BRISTOL ST
SUITE A108
COSTA MESA, CA92626-5981
 Phone: 949-275-6735
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SCOTT C LOGAN · (Male)

NPI Number 1376658088
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY18216
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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