MEDICARE: MS. MALINDA P LOGAN LCSW

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
1	1041C0700X	Clinical Social Worker	63713	TX

General Provider Information

NPI Number	:	1063797785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MALINDA P LOGAN LCSW

Provider Business Mailing Address
First Line	:	15015 WESTHEIMER PKWY STE I-2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1676
Country	:	US
Telephone Number	:	979-388-8530
Fax Number	:	979-282-5091

Provider Business Practice Location Address
First Line	:	15015 WESTHEIMER PKWY STE I-2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1676
Country	:	US
Telephone Number	:	979-388-8530
Fax Number	:	979-282-5091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2011
Last Update Date	:	10/11/2025

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