Logan, Dustin M

Logan, Dustin M is an individual health care provider with primary practice located at 8201 N Michaelson St , Palmer AK 99645-8196. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Logan, Dustin M can be contacted via phone (907) 745-5066.

Contact Information

Primary practice address
8201 N Michaelson St Palmer AK 99645-8196
Phone: (907) 745-5066
Fax: (877) 640-1413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 60616291 Washington
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 121536 Alaska

Profile Details

NPI number 1851578512
LBN Legal business name Logan, Dustin M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Apr 24th, 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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