Andre M Logan is a Counselor in Indianapolis, Indiana. Andre M Logan practices all healthcare services and medical treatments related to Counselor. The NPI Number for Andre M Logan is 1215024831. The last update date is 2007-07-08.
Andre M Logan's current location address is 4720 Kingsway Dr, Indianapolis, Indiana. You can contact this provider via phone number 3174727903. The mailing address for Andre M Logan is 4720 Kingsway Dr, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andre M Logan |
|---|---|
| Address | 4720 Kingsway Dr, Indianapolis, Indiana |
| Phone Number | 3174727903 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1215024831 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4720 Kingsway Dr |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462051555 |
| Phone Number | 3174727903 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
|
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
|
Post Comment/ Review Below
What is the unique identifier code issued to Andre M Logan by the Centers for Medicare & Medicaid Services?
The Andre M Logan has been assigned the NPI (National Provider Identifier) 1215024831. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Andre M Logan is physically located?
The Andre M Logan is situated at the following address: 4720 Kingsway Dr, Indianapolis, IN 462051555.
What is Andre M Logan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Andre M Logan is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215024831 to Andre M Logan?
The Centers for Medicare & Medicaid Services originally issued the 1215024831 to Andre M Logan on 2006-10-06.
When was the information related to Andre M Logan most recently updated or refreshed?
The details pertaining to the Andre M Logan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1871596916
Address: 2201 Brooken Hill Dr, Fort Smith, AR
NPI Number: 1912900044
Address: 2201 Brooken Hill Dr, Fort Smith, AR
NPI Number: 1073517967
Address: 17815 Ventura Blvd, Encino, CA
NPI Number: 1225032253
Address: 3939 Medical Dr Ste 110, San Antonio, TX
NPI Number: 1568466506
Address: 3939 Medical Dr, San Antonio, TX