SearchCalifornia101Y00000X

Logan Crandall

NPI 1255786042 · on the registry since 2016

Practice

Address
2535 Kettner Blvd
Suite 1a4
San Diego, CA 92101
Phone
(619) 615-0701
Organisation at this address
Brianna Meacham Lmft Inc
Wise Self Psychology, Inc.
Deierhoi-Clark Psychology, A Professional Organization
Inferred from a shared address, not stated in the registry.
Clinicians at this address
329

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California