National Provider Identifier
Jessica M. Logan, M.S., CCC-SLP, TSLD
Jessica M. Logan, M.S., CCC-SLP, TSLD is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in North Chili, NY and a listed phone number of (585) 208-2192.
Profile Overview
- NPI
- 1306179742
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 17, 2009
- Last Updated
- January 26, 2016
Practice Location
- 3 Springbrook Dr
- North Chili, NY 14514-1220
Phone: (585) 208-2192
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1306179742
- Entity Type
- Individual
- Last Name
- Logan
- First Name
- Jessica
- Middle Name
- M.
- Credential
- M.S., CCC-SLP, TSLD
- Mailing Street Address
- 3 Springbrook Dr
- Mailing City
- North Chili
- Mailing State
- NY
- Mailing ZIP Code
- 14514-1220
- Mailing Country
- US
- Mailing Phone
- (585) 208-2192
- Practice Street Address
- 3 Springbrook Dr
- Practice City
- North Chili
- Practice State
- NY
- Practice ZIP Code
- 14514-1220
- Practice Country
- US
- Practice Phone
- (585) 208-2192
- Enumeration Date
- September 17, 2009
- Last Updated
- January 26, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 30-0213081 (NY, Tax Id)