Ellen Martin Logan in Cumming - Psychologist
Ellen Martin Logan - NPI 1538254859
Ellen Martin Logan is a Psychologist in Cumming, Georgia. Ellen Martin Logan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Ellen Martin Logan is 1538254859. The last update date is 2007-07-09.
Ellen Martin Logan's current location address is 6030 Bethelview Rd Ste 401, Cumming, Georgia. You can contact this provider via phone number 7708891980. The mailing address for Ellen Martin Logan is 6030 Bethelview Rd Ste 401, Cumming, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Martin Logan |
|---|---|
| Address | 6030 Bethelview Rd Ste 401, Cumming, Georgia |
| Phone Number | 7708891980 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1538254859 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6030 Bethelview Rd Ste 401 |
|---|---|
| City | Cumming |
| State | Georgia (GA) |
| Post Code | 300408063 |
| Phone Number | 7708891980 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1510 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00647919F | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ellen Martin Logan by the Centers for Medicare & Medicaid Services?
The Ellen Martin Logan has been issued the NPI (National Provider Identifier) 1538254859. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ellen Martin Logan?
The Ellen Martin Logan is situated at 6030 Bethelview Rd Ste 401, in the city of Cumming, state of GA, with the zip code 300408063.
What is Ellen Martin Logan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ellen Martin Logan is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Ellen Martin Logan receive the assignment of its 1538254859 from the Centers for Medicare & Medicaid Services?
The Ellen Martin Logan was issued its 1538254859 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date was the information pertaining to Ellen Martin Logan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ellen Martin Logan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.