Individual
LOGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
11 PRIMROSE ST APT 1, ROSLINDALE, MA 02131-1615
(818) 635-3558
Mailing address
11 PRIMROSE ST APT 1, ROSLINDALE, MA 02131-1615
(818) 635-3558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
03/04/2026
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