Individual
DR. DEIRDRE E LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6694
(617) 730-0199
Mailing address
333 LONGWOOD AVE, CHB PAIN TREATMENT SERVICE, SUITE 549, BOSTON, MA 02115
(617) 355-6694
(627) 730-0199
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
8161
MA
Other
Enumeration date
01/15/2007
Last updated
09/14/2007
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