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LOGAN GREEN PH.D. NPI 1548322423


NPI Information

NPI: 1548322423
Provider Name: LOGAN GREEN, PH.D.
Classification: Psychologist - 103TF0200X
Entity Type: Organization

Specialization: Forensic

Address:
494 MAIN ST
APT 1
CROMWELL, CT
ZIP 06416
Phone: (860) 632-1296
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LOGAN GREEN, PH.D. is a forensic psychologist in Cromwell, CT. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. LOGAN GREEN, PH.D. NPI is 1548322423. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

494 MAIN ST
APT 1
CROMWELL, CT
ZIP 06416-040
Phone: (860) 632-1296

The provider's authorized official is Logan Green .
The authorized official title is Neuropsychologist and has the following contact phone number (860) 632-1296.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TF0200XPsychologistForensic852CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.