NPI 1619417870

Logan Hausman

Practitioner Prevention Professional Pocahontas, AR

Practice location

Address: 199 Frontier Trl, Pocahontas, AR 72455-1379
Phone: (870) 926-9076

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence OT-A1192 (AR)

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Registry record

NPI: 1619417870
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2017
Record last updated: 13 Mar 2017

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.