IndividualActive
Logan Hausman
NPI 1619417870 · Prevention Professional · Pocahontas, AR
Provider details
- NPI number
- 1619417870
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- OT-A1192 (AR)
Specialties & taxonomies
Other Service Providers
Practice location
199 Frontier Trl
Pocahontas, AR 72455-1379
Phone: (870) 926-9076
Approximate (ZIP-level) locationGet directions
Mailing address
199 Frontier Trl
Pocahontas, AR 72455-1379
Registry dates
- Enumerated
- 2017-03-06
- Last updated
- 2017-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.