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LOGAN BERRIAN
Psychiatric/Mental Health >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1477939577
Individual Registrant: LOGAN BERRIAN
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
5674 STONERIDGE DR. SUITE 207 KENSINGTON, CA 94708-1143 US
Tel: 925-520-0005 Fax: --
Tel: 925-520-0005 Fax: --
Contact information for business:
5674 STONERIDGE DR. SUITE 207 KENSINGTON, CA 94708-1143 US
Tel: 925-520-0005 Fax: --
Tel: 925-520-0005 Fax: --
Registration Information:
NPI: 1477939577
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WP0808X | Nursing Service Providers Registered Nurse Psychiatric/Mental Health | CA | 95052415 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
