Individual
MRS. MERRITT LYNNE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
2401 PENDLETON ST, ALBANY, GA 31721-9220
(229) 869-1328
Mailing address
2401 PENDLETON ST, ALBANY, GA 31721-9220
(229) 889-0819
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003861
GA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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