Logan Green, Ph.D.

LBN: Logan Green, Ph.D.
Logan Green, Ph.D. is an health care organization with primary practice located at 494 Main St Apt 1, Cromwell CT 06416-2040. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as the primary health care specialty. Logan Green, Ph.D. can be contacted via phone (860) 632-1296, or through Green, Logan via phone (860) 632-1296.

Contact Information

Primary practice address
494 Main St Apt 1 Cromwell CT 06416-2040
Phone: (860) 632-1296
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Logan PH.D.
Phone: (860) 632-1296

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X 852 Connecticut

Profile Details

NPI number 1548322423
LBN Legal business name Logan Green, Ph.D.
DBA Doing business as
Authorized official Green, Logan PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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