Active NPIIndividual provider

Clara A Logan, EDM

Counselor, Mental Health in Woburn, Massachusetts

NPI Number1891279808
Practice location
10I Roessler RD, Woburn, MA 01801-6208
Fax
—
Last updated
August 8, 2022

Clara A Logan is a Counselor, Mental Health based in Woburn, MA. Clara A Logan practices in Woburn, MA and has the professional credentials of EDM. The NPI Number for Clara A Logan is 1891279808 and holds a License No. 12089 (MA). The current practice location address for Clara A Logan is 10I Roessler RD, Woburn, MA 01801-6208 and can be reached out via phone at 781-932-8114.

Provider Profile Details

NPI Number
1891279808
Provider Name
Clara A Logan
Credential
EDM
Provider Entity Type
Individual
Gender
Female
Address
10I Roessler RD, Woburn, MA 01801-6208
Phone Number
781-932-8114
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
September 17, 2018
Last Update Date
August 8, 2022
Certification Date
August 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
10I Roessler RD
Woburn, MA 01801-6208
City
Woburn
Zip
01801-6208
Phone Number
781-932-8114
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
70 Oak St
Wakefield, MA 01880-3833
City
Wakefield
State
MA
Zip
01880-3833

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
12089
License State (2)
MA
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Clara A Logan, EDM?

The NPI number of Clara A Logan, EDM is 1891279808. It was assigned on September 17, 2018 and is currently active in the NPPES registry.

What is the specialty of Clara A Logan, EDM?

Clara A Logan, EDM is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 12089.

Where does Clara A Logan, EDM practice?

The practice location is 10I Roessler RD, Woburn, MA 01801-6208. The office can be reached at 781-932-8114 (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 1891279808 directly on the NPPES registry website.

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