DIANE E LOGAN — Medicare Enrolled Provider (PRACTITIONER - CLINICAL PSYCHOLOGIST, HI)
DIANE E LOGAN — Medicare Enrolled Provider (PRACTITIONER - CLINICAL PSYCHOLOGIST, HI) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: DIANE E LOGAN; Type: Individual; NPI: 1003207259.
| Name | DIANE E LOGAN |
|---|---|
| Type | Individual |
| NPI | 1003207259 |
| Provider type | PRACTITIONER - CLINICAL PSYCHOLOGIST |
| State | HI |
| Enrollment ID | I20150909003084 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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