Individual
LOGAN ANDREW RICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
900 TRADE ST, MORRISTOWN, TN 37813-5773
(423) 254-1978
Mailing address
255 GREENBRIAR RD, TALBOTT, TN 37877-8314
(423) 736-8028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7511
TN
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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