Individual
ALEXANDRA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
602 VONDERBURG DR STE 200, BRANDON, FL 33511-5900
(813) 653-1149
Mailing address
1251 RAY CHARLES BLVD APT 1128, TAMPA, FL 33602-3065
(903) 243-8998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA21860
FL
Other
Enumeration date
12/13/2022
Last updated
08/21/2023
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