Logan Green, Ph.D. in Cromwell - Forensic
Logan Green, Ph.D. - NPI 1548322423
Logan Green, Ph.D. is a Forensic in Cromwell, Connecticut. Logan Green, Ph.D. practices all healthcare services and medical treatments related to Forensic. The NPI Number for Logan Green, Ph.D. is 1548322423. The last update date is 2020-08-22.
Logan Green, Ph.D.'s current location address is 494 Main St, Cromwell, Connecticut. You can contact this provider via phone number 8606321296. The mailing address for Logan Green, Ph.D. is 494 Main St, Cromwell, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Logan Green, Ph.D. |
|---|---|
| Address | 494 Main St, Cromwell, Connecticut |
| Phone Number | 8606321296 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NEUROPSYCH |
|---|---|
| Authorized Official Name | Green Logan |
| Credentials | PH.D. |
| Telephone Number | 8606321296 |
NPI Number Detail
| NPI Number | 1548322423 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 494 Main St |
|---|---|
| City | Cromwell |
| State | Connecticut (CT) |
| Post Code | 64162040 |
| Phone Number | 8606321296 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | 852 |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Logan Green, Ph.D. by the Centers for Medicare & Medicaid Services?
The Logan Green, Ph.D. has been issued the NPI (National Provider Identifier) 1548322423, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Logan Green, Ph.D. is geographically located?
The Logan Green, Ph.D. is physically situated at the following location: 494 Main St, Cromwell, CT, 64162040.
What is Logan Green, Ph.D.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Logan Green, Ph.D.'s specialized field of practice is Forensic, and the corresponding taxonomy code that categorizes this area of specialization is 103Tf0200X.
On what date did the Logan Green, Ph.D. receive the assignment of its 1548322423 from the Centers for Medicare & Medicaid Services?
The Logan Green, Ph.D. was issued its 1548322423 by the Centers for Medicare & Medicaid Services on 2006-12-15.
As of what date were the details pertaining to Logan Green, Ph.D. last refreshed?
The information related to the Logan Green, Ph.D., including its address, specialty, and other relevant details, was last updated on 2020-08-22.