| Nancy A Logan, Phd. Pc | |
|
24123 Boerne Stage Rd Suite 430 San Antonio TX 78255-9403 | |
| (210) 615-0555 | |
| (210) 687-1100 |
| Full Name | Nancy A Logan, Phd. Pc |
|---|---|
| Speciality | Psychologist |
| Location | 24123 Boerne Stage Rd, San Antonio, Texas |
| Authorized Official Name and Position | Mary Ann Hildebrand (OFFICE MANAGER) |
| Authorized Official Contact | 2106150555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy A Logan, Phd. Pc 24123 Boerne Stage Rd Suite 430 San Antonio TX 78255-9403 Ph: (210) 615-0555 | Nancy A Logan, Phd. Pc 24123 Boerne Stage Rd Suite 430 San Antonio TX 78255-9403 Ph: (210) 615-0555 |
| NPI Number | 1407004971 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 10/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407004971 | NPI | - | NPPES |
| 00G66C | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 23696 (Texas) | Primary |
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