NPI 1083508394
Logan Wahl
Practice location
- Address
- 2463 E Gala St, Meridian, ID 83642-5209
- Phone
- (208) 955-7333
- Mailing address
- 213 Lodge Pole Dr, Middleton, ID 83644-4800
Registered specialties
Psychologist
Primary
Registry record
- NPI
- 1083508394
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Jun 2025
- Record last updated
- 3 Jun 2025
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.