Individual
LOGAN BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGY ASSOCIATE
Contact information
Practice address
1190 WINTERSON RD STE 160, LINTHICUM, MD 21090-2245
(410) 684-3806
Mailing address
6314 GREENSPRING AVE APT 404, BALTIMORE, MD 21209-3221
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
A01023
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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