Dr Ellen Udine Logacz, PHD LP MA LMFT is a
Marriage & Family Therapist based in Minneapolis, Minnesota. Dr Ellen Udine Logacz is licensed to practice in Minnesota (license number 909) and her current practice location is
2124 Dupont Ave S, Suite 301, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 824-9528.
NPI number for Dr Ellen Udine Logacz is 1538382767 and her current mailing address is 5441 Bryant Ave S, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538382767.
Healthcare Provider's Profile
Full Name | Dr Ellen Udine Logacz |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 2124 Dupont Ave S, Minneapolis, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538382767
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Ellen Udine Logacz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538382767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | LP4107 (Minnesota) | Primary |
106H00000X | Marriage & Family Therapist | 909 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ellen Udine Logacz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Ellen Udine Logacz, PHD LP MA LMFT 5441 Bryant Ave S, Minneapolis, MN 55419-1737 Ph: (612) 824-9528 | Dr Ellen Udine Logacz, PHD LP MA LMFT 2124 Dupont Ave S, Suite 301, Minneapolis, MN 55405-2700 Ph: (612) 824-9528 |
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