| Logan Clark, MS | |
|
11 Primrose St Apt 1, Roslindale, MA 02131-1615 | |
| (818) 635-3558 | |
| Not Available |
| Full Name | Logan Clark |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 11 Primrose St Apt 1, Roslindale, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215763180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Clark, MS 11 Primrose St Apt 1, Roslindale, MA 02131-1615 Ph: (818) 635-3558 | Logan Clark, MS 11 Primrose St Apt 1, Roslindale, MA 02131-1615 Ph: (818) 635-3558 |
Jennifer M Marden, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11 Congreve St, Apt 2, Roslindale, MA 02131 Phone: 617-327-0693 | |
Mrs. Vasiliki Liakos, MS SLP CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 346 Cornell St, Roslindale, MA 02131 Phone: 617-325-5263 |