NPI 1003013491

Kenneth Alan Logan, PSYD

Practitioner Clinical Psychologist Roseville, CA

Practice location

Address: 1891 E Roseville Pkwy Suite 100, Roseville, CA 95661-7973
Phone: (916) 789-7082
Fax: (916) 797-8840

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY21249 (CA)

Other Psychologist providers in California →

Registry record

NPI: 1003013491
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.