Scott Cameron Logan, PH.D.

NPI #1376658088 in Costa Mesa, California

Provider Information

NPI Number: 1376658088
Entity Type: Individual
Name: Scott Cameron Logan, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Aug 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2900 BRISTOL ST
Address 2: SUITE A108
City: Costa Mesa
State: California
ZIP Code: 92626-5981
Phone: (949) 275-6735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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