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NPI Code Detail

MEDICARE: LOGAN MARIE TODD

MEDICARE: LOGAN MARIE TODD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistNC

General Provider Information

NPI Number : 1346052107
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOGAN MARIE TODD
Provider Business Mailing Address
First Line : 845 N SAYLOR ST
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-3230
Country : US
Telephone Number : 984-212-9103
Fax Number : 984-212-9103
Provider Business Practice Location Address
First Line : 920 CAMBRIDGE ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-5300
Country : US
Telephone Number : 910-493-3555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2025
Last Update Date : 05/11/2026

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Directions to “ LOGAN MARIE TODD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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