Healthcare Provider Details

I. General information

NPI: 1801844550
Provider Name (Legal Business Name): BARBARA LOGAN ZIEGLER PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PIEDMONT PSYCHOLOGICAL PRACTICE, LLC 1408 O'DELL COURT SUITE C
SHERIDAN WY
82801
US

IV. Provider business mailing address

1408 O'DELL COURT SUITE C
SHERIDAN WY
82801
US

V. Phone/Fax

Practice location:
  • Phone: 307-672-2468
  • Fax: 307-672-2469
Mailing address:
  • Phone: 307-672-2468
  • Fax: 307-672-2469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number166
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: