Henderson-Logan, Robin

Henderson-Logan, Robin is an individual health care provider with primary practice located at 100 Brewster Blvd Naval Hospital, Camp Lejeune NC 28547-2538. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Henderson-Logan, Robin can be contacted via phone (910) 450-4159.

Contact Information

Primary practice address
100 Brewster Blvd Naval Hospital Camp Lejeune NC 28547-2538
Phone: (910) 450-4159
Fax: (910) 450-4194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 010028-1 New York
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3229 North Carolina

Profile Details

NPI number 1366557878
LBN Legal business name Henderson-Logan, Robin
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jan 4th, 2011 - about 13 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 1366557878 NPPES
New York MEDICAID 01192209

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