Tenderly Reay Logan, PPSC; LEP; APCC in Upper Lake, CA - Psychologist

Tenderly Reay Logan, PPSC; LEP; APCC is a Psychologist - School based in Upper Lake, California. Tenderly Reay Logan is licensed to practice in California (license number 3183) and her current practice location is 675 Clover Valley Rd, Upper Lake, California. She can be reached at her office (for appointments etc.) via phone at (707) 275-2338.

NPI number for Tenderly Reay Logan is 1972273787 and her current mailing address is 675 Clover Valley Rd, Upper Lake, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972273787.

Contact Information

	Tenderly Reay Logan, PPSC; LEP; APCC
	675 Clover Valley Rd, Upper Lake, CA 95485-9220
	(707) 275-2338
	Not Available

Healthcare Provider's Profile

Full Name	Tenderly Reay Logan
Gender	Female
Speciality	Psychologist - School
Location	675 Clover Valley Rd, Upper Lake, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1972273787
Provider Enumeration Date: 09/14/2021
Last Update Date: 09/14/2021

Medical Identifiers

Medical identifiers for Tenderly Reay Logan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972273787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	3183 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tenderly Reay Logan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tenderly Reay Logan, PPSC; LEP; APCC 675 Clover Valley Rd, Upper Lake, CA 95485-9220 Ph: (707) 275-2338	Tenderly Reay Logan, PPSC; LEP; APCC 675 Clover Valley Rd, Upper Lake, CA 95485-9220 Ph: (707) 275-2338

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Tenderly Reay Logan, PPSC; LEP; APCC - Psychologist in Upper Lake, CA