Logan, Ann

Logan, Ann is an sole proprietor health care provider with primary practice located at 823 Madison Ave , Morgantown WV 26501-6723. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Logan, Ann can be contacted via phone (304) 322-9922.

Contact Information

Primary practice address
823 Madison Ave Morgantown WV 26501-6723
Phone: (304) 322-9922
Fax: (831) 708-2797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 726 West Virginia

Profile Details

NPI number 1568461168
LBN Legal business name Logan, Ann
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Feb 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568461168 NPPES
West Virginia MEDICAID 0165178002

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