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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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