Dr. Arliss Logan, Psy.D.
Psychologist in Wyoming, MI. Individual provider (NPI-1).
NPI number1154550697
StatusActive
Last updated in NPPESDec 4, 2018
Details
- NPI
- 1154550697
- Entity type
- Individual (NPI-1)
- Name
- Dr. Arliss Logan
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2009
- Last updated
- Dec 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA |
Practice location
1843 R W Berends Dr SwWyoming, MI 49519-4955
Phone 616-773-2908 · Fax 616-532-3046
Mailing address
29488 Woodward Ave # 204Royal Oak, MI 48073-0903
Phone 408-466-0318
Other practice locations
747 52nd St
Oakland, CA 94609-1809
Oakland, CA 94609-1809
Phone 510-428-3000
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