Individual
LOGAN M BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 INNOVATION DRIVE 202 PSYCHOLOGY BUILDING, MEMPHIS, TN 38152-0001
(901) 485-0636
Mailing address
550 S PRESCOTT ST, MEMPHIS, TN 38111-4334
(901) 485-0636
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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