IndividualActive
Kenneth Logan, PSY.D.
NPI 1003013491 · Clinical Psychologist · Roseville, CA
Provider details
- NPI number
- 1003013491
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY21249 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1891 E Roseville Pkwy
Suite 100
Roseville, CA 95661-7973
Phone: (916) 789-7082
Fax: (916) 797-8840
Approximate (ZIP-level) locationGet directions
Mailing address
1891 E Roseville Pkwy
Roseville, CA 95661-7973
Registry dates
- Enumerated
- 2007-06-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.