| Christen Logue, PHD | |
|
308 Barnes Rd, Williamstown, KY 41097-9483 | |
| (859) 331-3292 | |
| (859) 578-2864 |
| Full Name | Christen Logue |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 21 Years |
| Location | 308 Barnes Rd, Williamstown, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285000752 | NPI | - | NPPES |
| 610661458 | Other | KY | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 129162 (Kentucky) | Secondary |
| 103TC0700X | Psychologist - Clinical | 129162 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 756 |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Entity Name | Counseling And Diagnostic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679644967 PECOS PAC ID: 4981976222 Enrollment ID: O20170821002027 |
| Mailing Address | Practice Location Address |
|---|---|
| Christen Logue, PHD 502 Farrell Dr, Covington, KY 41011-3717 Ph: (859) 578-3204 | Christen Logue, PHD 308 Barnes Rd, Williamstown, KY 41097-9483 Ph: (859) 331-3292 |
Mindy Craft, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 308 Barnes Pike, Williamstown, KY 41097 Phone: 859-824-4442 | |
Marsha L Casky, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 308 Barnes Rd, Williamstown, KY 41097 Phone: 859-331-3292 Fax: 859-578-2864 | |
Christopher Tapper, MS LPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1406 N Main St Ste 3, Williamstown, KY 41097 Phone: 859-824-5444 Fax: 859-824-0960 |