National Provider Identifier

Roberta Logsdon, MS ED

Roberta Logsdon, MS ED is listed in the NPPES registry with a primary specialty of Specialist in Fredonia, NY and a listed phone number of (716) 672-2731.

NPI 1891120820Fredonia, NYSpecialist

Profile Overview

NPI
1891120820
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
September 10, 2013
Last Updated
September 10, 2013

Practice Location

  • 75 Chestnut St
  • Fredonia, NY 14063-1630

Phone: (716) 672-2731

Mailing Address

  • 3668 Bard RD
  • Cassadaga, NY 14718-9666

Specialties

  • Specialist (174400000X)
Full Record
NPI
1891120820
Entity Type
Individual
Last Name
Logsdon
First Name
Roberta
Name Prefix
Mrs.
Credential
MS ED
Mailing Street Address
3668 Bard RD
Mailing City
Cassadaga
Mailing State
NY
Mailing ZIP Code
14718-9666
Mailing Country
US
Mailing Phone
(716) 410-7815
Practice Street Address
75 Chestnut St
Practice City
Fredonia
Practice State
NY
Practice ZIP Code
14063-1630
Practice Country
US
Practice Phone
(716) 672-2731
Enumeration Date
September 10, 2013
Last Updated
September 10, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)