Individual
STEFAN LOGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
848 BLOSSOM ROCK LN, FOLSOM, CA 95630-7845
(831) 884-6340
Mailing address
PO BOX 2082, FOLSOM, CA 95763-2082
(831) 884-6340
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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