Search › Pennsylvania › 103TC0700X
Jade Logan, PH.D., ABPP
NPI 1548707573 · on the registry since 2017
Practice
- Address
- 255 S 17th St
Suite 2704
Philadelphia, PA 19103 - Phone
- (267) 908-6363
- Organisation at this address
- Mtp Rx Llc
Mtp Rx Llc
Indlovu, Llc
Leeor Gal Llc
Kyra Sjarif LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 274
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-09
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 Pennsylvania