Detweiler, Nancy Logan

Detweiler, Nancy Logan is an sole proprietor health care provider with primary practice located at 2531 Nw 41St St Suite C, Gainesville FL 32606-7490. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Detweiler, Nancy Logan can be contacted via phone (352) 377-1900.

Contact Information

Primary practice address
2531 Nw 41St St Suite C Gainesville FL 32606-7490
Phone: (352) 377-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 859 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT 576 Florida

Profile Details

NPI number 1780727149
LBN Legal business name Detweiler, Nancy Logan
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780727149 NPPES
Florida Other Z1034 BLUE CROSS OF FL

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