Organization
LOGSDON CONRADSEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMOND LOGSDON-CONRADSEN PHD (PRESIDENT)
(770) 642-7155
Entity
Organization
Contact information
Practice address
515 E CROSSVILLE RD, SUITE 410, ROSWELL, GA 30075-3087
(770) 642-7155
(770) 642-7158
Mailing address
515 E CROSSVILLE RD, SUITE 410, ROSWELL, GA 30075-3087
(770) 642-7155
(770) 642-7158
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2347
GA
103TC0700X
Clinical Psychologist
Primary
2347
GA
Other
Enumeration date
05/15/2007
Last updated
07/23/2008
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