Individual
DR. GREGORY MARK LOGID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
755 E MCDOWELL RD, PHOENIX, AZ 85006
(602) 521-3300
(602) 521-3246
Mailing address
755 E MCDOWELL RD, PHOENIX, AZ 85006
(602) 521-3300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY-005119
AZ
Other
Enumeration date
08/02/2010
Last updated
08/22/2019
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