Logan Green, Ph.d.
Psychologist, Forensic in Cromwell, Connecticut
1548322423- Practice location
- 494 Main St, Apt 1, Cromwell, CT 06416-2040
- Phone
- 860-632-1296
- Fax
- —
- Last updated
- August 22, 2020
Logan Green, Ph.d. is a healthcare organization based in Cromwell, CT. Logan Green, Ph.d. practices in Cromwell, CT. The NPI Number for Logan Green, Ph.d. is 1548322423 and holds a License No. 852 (CT). The current practice location address for Logan Green, Ph.d. is 494 Main St, Apt 1, Cromwell, CT 06416-2040 and can be reached out via phone at 860-632-1296.
Provider Profile Details
- NPI Number
- 1548322423
- Provider Name
- Logan Green, Ph.d.
- Provider Entity Type
- Organization
- Address
- 494 Main St, Apt 1, Cromwell, CT 06416-2040
- Phone Number
- 860-632-1296
- Primary Taxonomy
- Psychologist, Forensic · 103TF0200X
- Organization Subpart
- No
- Authorized Official
- Dr. Logan Green, PHD · Neuropsychologist · 860-632-1296
- Provider Enumeration Date
- December 15, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 494 Main St
Apt 1
Cromwell, CT 06416-2040 - City
- Cromwell
- State
- Connecticut
- Zip
- 06416-2040
- Phone Number
- 860-632-1296
Provider Business Mailing Address Details
- Address
- 494 Main St
Apt 1
Cromwell, CT 06416-2040 - City
- Cromwell
- State
- CT
- Zip
- 06416-2040
- Phone Number
- 860-632-1296
License Information
- License Number
- 852
- License State
- CT
- Taxonomy
- Psychologist, Forensic · 103TF0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Logan Green, Ph.d.?
The NPI number of Logan Green, Ph.d. is 1548322423. It was assigned on December 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Logan Green, Ph.d.?
Logan Green, Ph.d. is registered under the primary taxonomy Psychologist, Forensic (code 103TF0200X), licensed in CT under license number 852.
Where does Logan Green, Ph.d. practice?
The practice location is 494 Main St, Apt 1, Cromwell, CT 06416-2040. The office can be reached at 860-632-1296 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548322423 directly on the NPPES registry website.