Individual
MRS. JACQUELINE ROSE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1500 OXFORD DR, SUITE 10, BETHEL PARK, PA 15102-1823
(412) 692-5011
(412) 851-1750
Mailing address
1500 OXFORD DR, SUITE 10, BETHEL PARK, PA 15102-1823
(412) 692-5011
(412) 851-1750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009511
PA
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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