Kaleta, Logan

Kaleta, Logan is an individual health care provider with primary practice located at 5597 N Dixie Hwy , Fort Lauderdale FL 33334. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kaleta, Logan can be contacted via phone (954) 958-4800.

Contact Information

Primary practice address
5597 N Dixie Hwy Fort Lauderdale FL 33334
Phone: (954) 958-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY10205 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10205 Florida

Profile Details

NPI number 1104293109
LBN Legal business name Kaleta, Logan
Credentials PSYD, CIC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2015
Last updated May 7th, 2024 - about 4 months 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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