Logan Green, Ph.d.

NPI #1548322423 in Cromwell, Connecticut

Provider Information

NPI Number: 1548322423
Entity Type: Organization
Organization Name: Logan Green, Ph.d.
Primary Specialty: Psychologist - Forensic
Enumeration Date: Dec 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 494 MAIN ST
Address 2: APT 1
City: Cromwell
State: Connecticut
ZIP Code: 06416-2040
Phone: (860) 632-1296

Authorized Official

Name: DR. LOGAN GREEN, PH.D.
Title: NEUROPSYCHOLOGIST
Phone: (860) 632-1296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Forensic — Forensic	103TF0200X	Primary

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