Healthcare Provider Details
I. General information
NPI: 1376475756
Provider Name (Legal Business Name): LOGOPEDIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
440 K ST NW APT 410
WASHINGTON DC
20001-2886
US
IV. Provider business mailing address
440 K ST NW APT 410
WASHINGTON DC
20001-2886
US
V. Phone/Fax
- Phone: 682-272-6939
- Fax:
- Phone: 682-272-6939
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATASHA
NIKOGOSSIAN
OLSON
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: CCC SLP
Phone: 682-272-6939