Individual provider · Type 1 NPI
Bret W. Logan, MD, PLC
Child & Adolescent Psychiatry Physician · Fort Campbell, KY
NPI number
1205804317
Active
Practice location
Blanchfield Army Community Hospital, 650 Joel Drive
Fort Campbell, KY 42223-5349
Fax (270) 956-0180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | MD34842 (TN) |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | MD34842 (TN) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1205804317
Bret W. Logan, MD, PLC's National Provider Identifier is 1205804317, issued on Mar 14, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Fort Campbell, KY. The record was last updated on Dec 29, 2010.