Individual
LOGAN KALETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, CIC
Contact information
Practice address
5597 N DIXIE HWY, FORT LAUDERDALE, FL 33334
(954) 958-4800
Mailing address
5597 N DIXIE HWY, OAKLAND PARK, FL 33334-3406
(954) 958-4800
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY10205
FL
103TC0700X
Clinical Psychologist
PY10205
FL
Other
Enumeration date
08/25/2015
Last updated
03/25/2026
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