| Diane Logan Llc | |
|
75-5665 Kuakini Hwy Ste 2 Kailua Kona HI 96740-1689 | |
| (808) 437-7447 | |
| (808) 374-9046 |
| Full Name | Diane Logan Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 75-5665 Kuakini Hwy Ste 2, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Diane Logan (PROVIDER/OWNER) |
| Authorized Official Contact | 8084377447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Logan Llc Po Box 5488 Kailua Kona HI 96745-5488 Ph: (808) 437-7447 | Diane Logan Llc 75-5665 Kuakini Hwy Ste 2 Kailua Kona HI 96740-1689 Ph: (808) 437-7447 |
| NPI Number | 1265068233 |
|---|---|
| Provider Enumeration Date | 03/20/2020 |
| Last Update Date | 07/09/2026 |
| Certification Date | 07/09/2026 |
| Medicare PECOS PAC ID | 5496185613 |
|---|---|
| Medicare Enrollment ID | O20200430000794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265068233 | NPI | - | NPPES |
| Provider Name | Diane E Logan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003207259 PECOS PAC ID: 3072820901 Enrollment ID: I20150909003084 |
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