Logsdon, Celia W

Logsdon, Celia W is an sole proprietor health care provider with primary practice located at 1 Blackburn Dr , Gloucester MA 01930-2237. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Logsdon, Celia W can be contacted via phone (978) 283-6888.

Contact Information

Primary practice address
1 Blackburn Dr Gloucester MA 01930-2237
Fax: (978) 283-8655
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 430 Massachusetts

Profile Details

NPI number 1629039151
LBN Legal business name Logsdon, Celia W
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2006
Last updated Apr 1st, 2014 - about 10 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 1629039151 NPPES
Massachusetts MEDICAID 110062782A

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