Individual
ALLY LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 GOGUAC ST W STE B2, SPRINGFIELD, MI 49015-2097
(269) 223-7786
(269) 962-9569
Mailing address
777 GOGUAC ST W STE B2, BATTLE CREEK, MI 49015-2097
(269) 223-7786
(269) 962-9569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
7101009822
MI
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/13/2020
Last updated
02/11/2026
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