DR. KENNETH ALAN LOGAN PSY.D. - NPI 1003013491 - Psychologist in Roseville, CA

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

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About Dr. Kenneth Alan Logan Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH ALAN LOGAN PSY.D. (NPI 1003013491) is an individual clinical provider in Roseville, California, licensed in California (PSY21249) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1003013491

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KENNETH ALAN LOGANCredential: PSY.D.

Location Address1891 E ROSEVILLE PKWY, SUITE 100Roseville, CA 95661-7973

Mailing Address1891 E Roseville Pkwy, Suite 100Roseville, CA 95661-7973 · (916) 789-7082 · Fax (916) 797-8840

Phone(916) 789-7082

Fax(916) 797-8840

Sole ProprietorYes

Enumeration DateJune 28, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003013491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY21249

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1891 E ROSEVILLE PKWY, Roseville, CA 95661

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