Jessica M Logan, MS, CCC-SLP, TSLD is a
Speech-language Pathologist based in North Chili, New York. Jessica M Logan is licensed to practice in New York (license number 019242-1) and her current practice location is
3 Springbrook Dr, North Chili, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 208-2192.
NPI number for Jessica M Logan is 1306179742 and her current mailing address is 3 Springbrook Dr, North Chili, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306179742.
Healthcare Provider's Profile
| Full Name | Jessica M Logan |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 3 Springbrook Dr, North Chili, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306179742
- Provider Enumeration Date: 09/17/2009
- Last Update Date: 01/26/2016
Medical Identifiers
Medical identifiers for Jessica M Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306179742 | NPI | - | NPPES |
| 30-0213081 | Other | NY | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 019242-1 (New York) | 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. Jessica M Logan 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 |
|---|
Jessica M Logan, MS, CCC-SLP, TSLD
3 Springbrook Dr,
North Chili, NY 14514-1220
Ph: (585) 208-2192 | Jessica M Logan, MS, CCC-SLP, TSLD
3 Springbrook Dr,
North Chili, NY 14514-1220
Ph: (585) 208-2192 |
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