Individual
DR. SANDRA GAILYA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5322 PRIMROSE LAKE CIR, SUITE G, TAMPA, FL 33647-3659
(813) 866-8705
(813) 333-2202
Mailing address
5322 PRIMROSE LAKE CIR, SUITE G, TAMPA, FL 33647-3659
(813) 866-8705
(813) 333-2202
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3834
FL
Other
Enumeration date
10/01/2006
Last updated
06/04/2012
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