Logan, Tenderly Reay

Logan, Tenderly Reay is an individual health care provider with primary practice located at 675 Clover Valley Rd , Upper Lake CA 95485-9220. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Logan, Tenderly Reay can be contacted via phone (707) 275-2338.

Contact Information

Primary practice address
675 Clover Valley Rd Upper Lake CA 95485-9220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 3183 California

Profile Details

NPI number 1972273787
LBN Legal business name Logan, Tenderly Reay
Credentials PPSC; LEP; APCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2021
Last updated Sep 14th, 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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