Nell Logan is a Clinical in Evanston, Illinois. Nell Logan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nell Logan is 1265428452. The last update date is 2012-07-05.
Nell Logan's current location address is 636 Church St, Evanston, Illinois. You can contact this provider via phone number 8473288886. The mailing address for Nell Logan is 636 Church St, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nell Logan |
|---|---|
| Address | 636 Church St, Evanston, Illinois |
| Phone Number | 8473288886 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1265428452 |
|---|---|
| Provider Enumeration Date | 2005-09-22 |
| Last Updated Date | 2012-07-05 |
Provider Mailing Address Detail
| Address | 636 Church St |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 60201 |
| Phone Number | 8473288886 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71001854 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1672439 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Nell Logan's unique identification number?
The Nell Logan has been assigned the NPI (National Provider Identifier) Number 1265428452 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Nell Logan?
The Nell Logan is situated at 636 Church St, in the city of Evanston, state of IL, with the zip code 60201.
What is Nell Logan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Nell Logan is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Nell Logan receive the assignment of its 1265428452 from the Centers for Medicare & Medicaid Services?
The Nell Logan was issued its 1265428452 by the Centers for Medicare & Medicaid Services on 2005-09-22.
As of what date were the details pertaining to Nell Logan last refreshed?
The information related to the Nell Logan, including its address, specialty, and other relevant details, was last updated on 2012-07-05.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH