Jacobson, Logan Michele

Jacobson, Logan Michele is an sole proprietor health care provider with primary practice located at 67-29 Myrtle Ave Glendale Mental Health Clinic, Glendale NY 11385. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jacobson, Logan Michele can be contacted via phone (631) 404-8277.

Contact Information

Primary practice address
67-29 Myrtle Ave Glendale Mental Health Clinic Glendale NY 11385
Phone: (631) 404-8277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X New York

Profile Details

NPI number 1497089247
LBN Legal business name Jacobson, Logan Michele
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2009
Last updated Jul 21st, 2022 - about 2 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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