Logan Patricia Abbott

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2020016258 Issued in MO

Practice address

1630 Ross Ave
Saint Louis, MO 63146-3817

Phone

(573) 418-5730

NPI assigned

Jun 19, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1124644729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 ROSS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463817",
            "telephone_number": "573-418-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 ROSS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463817",
            "telephone_number": "573-418-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "LOGAN",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2020016258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hajira Abbasi, DO
• Mohammed Munam Abbasi, MD
• Abbott Ambulance Inc
• Abbott and Associates, Inc.
• Catey Ashlyn Abbott, DO
• Pamela Abbott, PT, DPT, OCS
• Brian Frank Abboud, MD
• Camille N Abboud, MD
• Nabil C Abboud, MD
• Ramzi Abboud, MD

• All providers in Saint Louis, MO
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.