Sandra Logan, PH.D

NPI 1588757835 · on the registry since 2006 · sole proprietor

Practice

Address: 5322 Primrose Lake Cir
Suite G
Tampa, FL 33647
Phone: (813) 866-8705
Fax: (813) 333-2202
Organisation at this address: Mind Gym Neurofeedback, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-06-04

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 Florida