Individual
PATRICK LOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 HARVEY PL, DURHAM, NC 27705-5628
(919) 225-7991
Mailing address
14 HARVEY PL, DURHAM, NC 27705-5628
(919) 225-7991
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
401
NC
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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