Susan Knepp Logan in Ridgecrest - Marriage & Family Therapist

Susan Knepp Logan - NPI 1942412077

Susan Knepp Logan is a Marriage & Family Therapist in Ridgecrest, California. Susan Knepp Logan practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Susan Knepp Logan is 1942412077. The last update date is 2007-07-08.

Susan Knepp Logan's current location address is 1201 N. China Lake Blvd., Ridgecrest, California. You can contact this provider via phone number 7603756348 and fax number 7604464161. The mailing address for Susan Knepp Logan is 1201 N. China Lake Blvd., Ridgecrest, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Knepp Logan
Address 1201 N. China Lake Blvd., Ridgecrest, California
Phone Number 7603756348
Fax Number 7604464161
Sole Proprietor N
Credentials MFT

NPI Number Detail

NPI Number 1942412077
Provider Enumeration Date 2007-05-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1201 N. China Lake Blvd.
City Ridgecrest
State California (CA)
Post Code 93555
Phone Number 7603756348
Fax Number 7604464161

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No MFT24526
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ66427Z CA BLUE SHIELD OF CA PIN

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FAQs about Susan Knepp Logan

What is the unique 10-digit identification code issued to Susan Knepp Logan by the Centers for Medicare & Medicaid Services?

The Susan Knepp Logan has been assigned the NPI (National Provider Identifier) 1942412077 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 address where Susan Knepp Logan is physically located?

The Susan Knepp Logan is situated at the following address: 1201 N. China Lake Blvd., Ridgecrest, CA 93555.

What is Susan Knepp Logan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Susan Knepp Logan's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1942412077 to Susan Knepp Logan?

The Centers for Medicare & Medicaid Services assigned the 1942412077 to Susan Knepp Logan on 2007-05-03.

As of what date was the information pertaining to Susan Knepp Logan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Susan Knepp Logan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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