Robert A Logan, LPC | |
4025 Rawlins Street, Cheyenne, WY 82001-1900 | |
(307) 275-2483 | |
(307) 426-4799 |
Full Name | Robert A Logan |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 4025 Rawlins Street, Cheyenne, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134342199 | NPI | - | NPPES |
106662500 | Medicaid | WY | |
310021 | Other | WY | BCBS OF WYOMING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-455 (Wyoming) | Secondary |
101YP2500X | Counselor - Professional | LPC-455 (Wyoming) | Primary |
Entity Name | Specialty Counseling & Consulting |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538462783 PECOS PAC ID: 8921311911 Enrollment ID: O20150720002981 |
Mailing Address | Practice Location Address |
---|---|
Robert A Logan, LPC 4025 Rawlins Street, Cheyenne, WY 82001-1900 Ph: (307) 275-2483 | Robert A Logan, LPC 4025 Rawlins Street, Cheyenne, WY 82001-1900 Ph: (307) 275-2483 |
Maelee Ann Havens, LPC-1917 Counselor Medicare: Medicare Enrolled Practice Location: 2600 E 18th St, Cheyenne, WY 82001 Phone: 307-633-7370 | |
Alexander James Barrera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6900 Alden Dr Bldg 160, Cheyenne, WY 82005 Phone: 307-773-2998 | |
Ms. Aurelia Neuda, MS LPC LAT Counselor Medicare: Medicare Enrolled Practice Location: 2526 Seymour Ave, Cheyenne, WY 82001 Phone: 307-634-9653 Fax: 307-638-8256 | |
Shaundra K Drysdale, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4025 Rawlins St, Cheyenne, WY 82001 Phone: 307-426-4797 | |
Linnaea Despain Sutphin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 E 17th St Ste 210, Cheyenne, WY 82001 Phone: 307-996-7964 | |
Dr. David Harold Birney, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 W 29th St, Cheyenne, WY 82001 Phone: 307-426-4724 | |
Becky Marie Lauridsen, PPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4025 Rawlins St, Cheyenne, WY 82001 Phone: 307-426-4798 Fax: 307-426-4799 |