MICHAEL JOHN LOGIUDICE MFT I NPI 1366806721

NPI Information

NPI: 1366806721
Provider Name: MICHAEL JOHN LOGIUDICE, MFT I
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1405 SPRUCE ST
RIVERSIDE, CA
ZIP 92507
Phone: (951) 715-5040
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Michael John Logiudice, MFT I is a mental health counselor in Riverside, CA. Michael John Logiudice, MFT I NPI is 1366806721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1405 SPRUCE ST
RIVERSIDE, CA
ZIP 92507-464
Phone: (951) 715-5040

The enumeration date for this NPI number is 4/11/2016 and was last updated on 4/11/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	IMF82708	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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