Logan Keville

NPI 1659879781 · on the registry since 2018

Practice

Address: 1283 Kelly Johnson Blvd
Colorado Springs, CO 80920
Phone: (719) 452-4803
Organisation at this address: Mayfield Counseling Centers
Neurofeedback Colorado Springs, Inc.
Neurofeedback Colorado Springs, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-10-19

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 Colorado