Individual
MRS. JENNIFER ANN LOGAN MAIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
5170 GATEWAY AVE, NOBLESVILLE, IN 46062-6772
(317) 432-4247
(317) 877-6618
Mailing address
5170 GATEWAY AVE, NOBLESVILLE, IN 46062-6772
(317) 432-4247
(317) 877-6618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002881A
IN
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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