MEDICARE: ANN LOGAN PHD

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	103T00000X	Psychologist	726	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568461168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN LOGAN PHD

Provider Business Mailing Address
First Line	:	823 MADISON AVE
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26501-6723
Country	:	US
Telephone Number	:	304-322-9922
Fax Number	:

Provider Business Practice Location Address
First Line	:	823 MADISON AVE
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26501-6723
Country	:	US
Telephone Number	:	304-322-9922
Fax Number	:	831-708-2797

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	02/21/2023

Similar Medicare Providers

1043752744 — RYAN JEFFREY DALLATORE LPC
Practice Location Address:

652 MADIGAN AVE
MORGANTOWN, WV
26501-6716

Practice Phone: 304-777-8227
Practice Fax:

1750086328 — RYAN DALLATORE
Practice Location Address:

652 MADIGAN AVE
MORGANTOWN, WV
26501-6716

Practice Phone: 304-777-8227
Practice Fax:

1417956053 — LARRY VICTOR STARCHER II MD
Practice Location Address:

215 DON KNOTTS BLVD , SUITE 130
MORGANTOWN, WV
26501-6734

Practice Phone: 304-291-3627
Practice Fax: 304-284-8667

1003815515 — KEVIN J BLANKENSHIP MD
Practice Location Address:

63 WHARF ST , SUITE 100
MORGANTOWN, WV
26501-5937

Practice Phone: 304-291-3627
Practice Fax: 304-598-3630

1568461077 — FRANK W ALDERMAN M.D.
Practice Location Address:

215 DON KNOTTS BLVD , SUITE 130
MORGANTOWN, WV
26501-6734

Practice Phone: 304-291-3627
Practice Fax: 304-284-8667

1235138280 — MEDEXPRESS URGENT CARE PLLC-MORGANTOWN
Practice Location Address:

215 DON KNOTTS BLVD , SUITE 130
MORGANTOWN, WV
26501-6734

Practice Phone: 304-291-3627
Practice Fax: 304-284-3630

Directions to “ ANN LOGAN PHD” 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.