MEDICARE: ALICIA JOY LOGUE LPC, NCC, BCBA

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	103K00000X	Behavior Analyst	1-08-4188
2	101YP2500X	Professional Counselor	PC005207	PA

General Provider Information

NPI Number	:	1437380425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA JOY LOGUE LPC, NCC, BCBA

Provider Business Mailing Address
First Line	:	4801 MCKNIGHT RD # 1129
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-3423
Country	:	US
Telephone Number	:	412-342-8424
Fax Number	:

Provider Business Practice Location Address
First Line	:	4801 MCKNIGHT RD # 1129
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-3423
Country	:	US
Telephone Number	:	412-342-8424
Fax Number	:

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

Provider Enumeration Date	:	08/07/2009
Last Update Date	:	07/02/2025

Similar Medicare Providers

1811844277 — NORTHBRIDGE PSYCHIATRIC CARE, PLLC
Practice Location Address:

4801 MCKNIGHT RD # 1188
PITTSBURGH, PA
15237-3423

Practice Phone: 878-723-5412
Practice Fax:

1669657557 — JULIANA MILANO PMHNP-BC
Practice Location Address:

4801 MCKNIGHT RD # 1069
PITTSBURGH, PA
15237-3423

Practice Phone: 302-299-7881
Practice Fax:

1235212861 — PENNSYLVANIA CVS PHARMACY LLC
Practice Location Address:

4801 MCKNIGHT RD STE 3
PITTSBURGH, PA
15237-3423

Practice Phone: 412-536-1808
Practice Fax: 412-536-1808

1801915681 — FRANKLIN SQUARE LP
Practice Location Address:

4801 MCKNIGHT RD
PITTSBURGH, PA
15237-3423

Practice Phone: 412-364-7944
Practice Fax: 412-364-8397

1407089824 — KATHRYN ANNE BERGAMASCO
Practice Location Address:

4801 MCKNIGHT RD , ROOM 60
PITTSBURGH, PA
15237-3423

Practice Phone: 412-536-1808
Practice Fax:

1942533344 — COLLEEN MEGAN DUGAN PHARM D
Practice Location Address:

4801 MCKNIGHT RD
PITTSBURGH, PA
15237-3423

Practice Phone: 412-536-1808
Practice Fax: 412-536-1808

Directions to “ ALICIA JOY LOGUE LPC, NCC, BCBA” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.