Logel, Marvin Leroy

Logel, Marvin Leroy is an sole proprietor health care provider with primary practice located at 7300 Metro Blvd Suite 640, Edina MN 55439-2303. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Logel, Marvin Leroy can be contacted via phone (952) 924-0146.

Contact Information

Primary practice address
7300 Metro Blvd Suite 640 Edina MN 55439-2303
Phone: (952) 924-0146
Fax: (952) 937-0925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0569 Minnesota
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X LP0569 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP0569 Minnesota

Profile Details

NPI number 1447376348
LBN Legal business name Logel, Marvin Leroy
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Feb 7th, 2009 - about 17 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 1447376348 NPPES
Minnesota Other 10076LO BLUE-CROSS BLUE-SHIELD

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