Merritt Lynne Logan, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003861 Issued in GA

Practice address

2401 Pendleton St
Albany, GA 31721-9220

Phone

(229) 869-1328

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Merritt Lynne Clifton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merritt C Logan Speech Language Pathology

  • Speech-Language Pathologist
  • Albany, GA
  • NPI 1164135653
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689895013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PENDLETON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219220",
            "telephone_number": "229-889-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENDLETON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219220",
            "telephone_number": "229-869-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "MERRITT",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "003861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERRITT",
            "last_name": "CLIFTON",
            "middle_name": "LYNNE",
            "credential": "MA CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Belise Livingston-Burns, MD
• Earl Lockette Sr.
• Yolanda Lockette
• Amie Lockhart, RPN
• Carmeletha Lofton
• Tatyunna Tanea Logan
• Thomas Jerry Long, PHARMACIST
• Enrique Patrick Lopez, M.D.
• Christine Lorber, SLP
• Douglas R Lorber

• Speech-Language Pathologist in Albany, GA
• Providers in Albany, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.