Individual
ANNALEAH LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 CLARK WAY, PALO ALTO, CA 94304
(650) 688-3622
Mailing address
327 N SAN MATEO DR STE 7, SAN MATEO, CA 94401-2585
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25893
CA
Other
Enumeration date
11/25/2013
Last updated
04/05/2021
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