Logue, Mary Beth
Logue, Mary Beth is an individual health care provider with primary practice located at Psc 482 Box 175 , Fpo AP 96362. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Logue, Mary Beth can be contacted via phone 816116342740.Contact Information
Primary practice address
Psc 482 Box 175
Fpo AP 96362
Phone: 816116342740
Fax: 816116342708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 812 | Oklahoma |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 812 | Oklahoma |
Profile Details
| NPI number | 1972583763 |
|---|---|
| LBN Legal business name | Logue, Mary Beth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Apr 20th, 2008 - 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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