Individual
DR. GERALD LOGAN LEGAGNOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
344 EUCLID ST, SANTA MONICA, CA 90402-2118
(310) 393-8383
Mailing address
344 EUCLID ST, SANTA MONICA, CA 90402-2118
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY1834
CA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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