Sandra Gailya Logan is a Clinical in Tampa, Florida. Sandra Gailya Logan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandra Gailya Logan is 1588757835. The last update date is 2012-06-04.
Sandra Gailya Logan's current location address is 5322 Primrose Lake Cir, Tampa, Florida. You can contact this provider via phone number 8138668705 and fax number 8133332202. The mailing address for Sandra Gailya Logan is 5322 Primrose Lake Cir, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Gailya Logan |
|---|---|
| Address | 5322 Primrose Lake Cir, Tampa, Florida |
| Phone Number | 8138668705 |
| Fax Number | 8133332202 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1588757835 |
|---|---|
| Provider Enumeration Date | 2006-10-01 |
| Last Updated Date | 2012-06-04 |
Provider Mailing Address Detail
| Address | 5322 Primrose Lake Cir |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336473659 |
| Phone Number | 8138668705 |
| Fax Number | 8133332202 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY3834 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Sandra Gailya Logan by the Centers for Medicare & Medicaid Services?
The Sandra Gailya Logan has been assigned the NPI (National Provider Identifier) 1588757835 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Sandra Gailya Logan is located?
The Sandra Gailya Logan is situated at the following address: 5322 Primrose Lake Cir, Tampa, FL, 336473659.
What is the Sandra Gailya Logan's area of specialization and corresponding taxonomy classification?
The Sandra Gailya Logan's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Sandra Gailya Logan receive its 1588757835 assignment from the Centers for Medicare & Medicaid Services?
The Sandra Gailya Logan was assigned its 1588757835 by the Centers for Medicare & Medicaid Services on 2006-10-01.
When was the Sandra Gailya Logan's information last updated?
The Sandra Gailya Logan's information was last updated on 2012-06-04.
NPI Number: 1225026222
Address: 300 Twining St Bldg 760, Maxwell Afb, AL