Individual
MR. ROBERT ALAN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
(180) 097-0500
Mailing address
4541 CHUCKWOOD DR, MINT HILL, NC 28227-9358
(704) 545-3164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
303
NC
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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