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Individual

ANTHONY PETER LOGALBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3661 S BABCOCK ST, MELBOURNE, FL 32901-8205
(321) 434-7611
(321) 727-3738
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-7611

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY7399
FL
103TC0700X
Clinical Psychologist
PY7399
FL

Other

Enumeration date
11/01/2006
Last updated
04/19/2024
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