DR. Kenneth Alan Logan, PSY.D.
NPI #1003013491 in Roseville, California
Provider Information
- NPI Number
- 1003013491
- Entity Type
- Individual
- Name
- DR. Kenneth Alan Logan, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSY.D.
- Enumeration Date
- Jun 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1891 E ROSEVILLE PKWY
- Address 2
- SUITE 100
- City
- Roseville
- State
- California
- ZIP Code
- 95661-7973
- Phone
- (916) 789-7082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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Organizations
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|---|---|
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