Individual
DR. LOGAN GRACE FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
730 WELCH RD, PALO ALTO, CA 94304-1503
(650) 724-4800
Mailing address
730 WELCH RD, PALO ALTO, CA 94304-1503
(650) 724-4800
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14154106
ASHA CERTIFICATION
—
01
—
3418
AUDIOLOGY LICENSE (AU)
CA
Enumeration date
07/16/2019
Last updated
03/16/2020
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