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Contact Information

SANDRA G LOGAN, PhD
5322 PRIMROSE LAKE CIR
SUITE G
TAMPA, FL33647-3659
 Phone: 813-866-8705
 Fax: 813-333-2202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SANDRA G LOGAN · (Female)

NPI # 1588757835
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/01/2006
Last updated 06/04/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PY3834
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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