Logan, Joan

Logan, Joan is an sole proprietor health care provider with primary practice located at 515 E Washington St , Colorado Springs CO 80907-7045. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric is her primary health care specialty. Logan, Joan can be contacted via phone (719) 471-2932.

Contact Information

Primary practice address
515 E Washington St Colorado Springs CO 80907-7045
Phone: (719) 471-2932
Fax: (719) 471-2932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 234 Colorado
Nursing Service Providers / Registered Nurse 163W00000X 65018 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric 364SP0813X Colorado

Profile Details

NPI number 1295703924
LBN Legal business name Logan, Joan
Credentials CNS LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Feb 26th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295703924 NPPES
Colorado MEDICAID 79652336

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