Individual
JAMILAH Q LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9261 W VAN BUREN ST, TOLLESON, AZ 85353-2941
(623) 533-3901
(623) 533-3902
Mailing address
6612 W MONROE ST, PHOENIX, AZ 85043-5065
(850) 528-8525
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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