Dr. Constance Adams Logan, Ph.D.
Psychologist, Clinical in Omaha, NE. Individual provider (NPI-1).
NPI number1700899366
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1700899366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Constance Adams Logan
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 573 | NE | Yes |
Practice location
4101 Woolworth AveOmaha, NE 68105-1850
Phone 402-346-8800 · Fax 402-449-0667
Mailing address
4101 Woolworth AveOmaha, NE 68105-1850
Phone 402-346-8800 · Fax 402-449-0667
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