Individual
DR. LESLEY KUBISIAK LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
113 ALLENDALE WAY, CAMP HILL, PA 17011-8401
(717) 350-6251
Mailing address
113 ALLENDALE WAY, CAMP HILL, PA 17011-8401
(717) 350-6251
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS020297
PA
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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