Individual provider · NPI-1

Logan Patricia Abbott

Speech-Language Pathologist, · Saint Louis, MO

NPI number1124644729
StatusActive
Last updated in NPPESJun 19, 2020

Details

NPI
1124644729
Entity type
Individual (NPI-1)
Name
Logan Patricia Abbott
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 19, 2020
Certification date
Jun 19, 2020
Last updated
Jun 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,2020016258MOYes

Practice location

1630 Ross Ave
Saint Louis, MO 63146-3817

Phone 573-418-5730

Mailing address

1630 Ross Ave
Saint Louis, MO 63146-3817

Phone 573-418-5730

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