Logan, Robert A

Logan, Robert A is an sole proprietor health care provider with primary practice located at 4025 Rawlins Street , Cheyenne WY 82001-1900. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Logan, Robert A can be contacted via phone (307) 275-2483.

Contact Information

Primary practice address
4025 Rawlins Street Cheyenne WY 82001-1900
Phone: (307) 275-2483
Fax: (307) 426-4799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-455 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-455 Wyoming

Profile Details

NPI number 1134342199
LBN Legal business name Logan, Robert A
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jun 2nd, 2021 - about 5 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 1134342199 NPPES
Wyoming MEDICAID 106662500
Wyoming Other 310021

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