NPI 1851578512

Dustin M Logan, PHD

Practitioner Clinical Neuropsychologist Palmer, AK

Practice location

Address: 8201 N Michaelson St, Palmer, AK 99645-8196
Phone: (907) 745-5066
Fax: (877) 640-1413
Mailing address: PO Box 3034, Palmer, AK 99645-3034

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 121536 (AK)

Other Clinical Neuropsychologist providers in Alaska →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 60616291 (WA)

Other Psychologist providers in Alaska →

Registry record

NPI: 1851578512
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2008
Record last updated: 24 Apr 2024

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.