Rekita Charnelle Justice Logan in Temple - Clinical

Rekita Charnelle Justice Logan - NPI 1174530117

Rekita Charnelle Justice Logan is a Clinical in Temple, Texas. Rekita Charnelle Justice Logan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rekita Charnelle Justice Logan is 1174530117. The last update date is 2008-05-29.

Rekita Charnelle Justice Logan's current location address is 1901 Veterans Memorial Dr, Temple, Texas. You can contact this provider via phone number 2547430711. The mailing address for Rekita Charnelle Justice Logan is 1901 Veterans Memorial Dr, Temple, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Rekita Charnelle Justice Logan
Address 1901 Veterans Memorial Dr, Temple, Texas
Phone Number 2547430711
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1174530117
Provider Enumeration Date 2006-08-02
Last Updated Date 2008-05-29

Provider Mailing Address Detail

Address 1901 Veterans Memorial Dr
City Temple
State Texas (TX)
Post Code 76504
Phone Number 2547430711
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 38302
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Rekita Charnelle Justice Logan

What is the unique identifier code issued to Rekita Charnelle Justice Logan by the Centers for Medicare & Medicaid Services?

The Rekita Charnelle Justice Logan has been assigned the NPI (National Provider Identifier) 1174530117. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Rekita Charnelle Justice Logan located?

The Rekita Charnelle Justice Logan is located at 1901 Veterans Memorial Dr, Temple, TX 76504.

What is Rekita Charnelle Justice 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 Rekita Charnelle Justice Logan is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1174530117 to Rekita Charnelle Justice Logan?

The Rekita Charnelle Justice Logan received its 1174530117 assignment from the Centers for Medicare & Medicaid Services on 2006-08-02.

As of what date were the details pertaining to Rekita Charnelle Justice Logan last refreshed?

The information related to the Rekita Charnelle Justice Logan, including its address, specialty, and other relevant details, was last updated on 2008-05-29.

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