Individual
DR. ARLISS LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1843 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 773-2908
(616) 532-3046
Mailing address
29488 WOODWARD AVE # 204, ROYAL OAK, MI 48073-0903
(408) 466-0318
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
07/06/2009
Last updated
12/04/2018
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