LOGSDON CONRADSEN, LLC (NPI# 1174739155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174739155 |
| Entity Type | Organization |
| Organization Name | LOGSDON CONRADSEN, LLC |
| Practice Address |
515 E Crossville Rd Suite 410 Roswell GA 30075-3087 |
| Practice Telephone | 7706427155 |
| Practice Fax Number | 7706427158 |
| Mailing Telephone | 7706427155 |
| Mailing Fax Number | 7706427158 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | DR. DAMOND LOGSDON-CONRADSEN (PRESIDENT) |
| Authorized Official Telephone | 7706427155 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 2347 | GA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2347 | GA | Behavioral Health & Social Service Providers |
| Street Address |
515 E CROSSVILLE RD SUITE 410 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-3087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808502 | Valentines Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 515 E Crossville Rd, Suite 410, Roswell, GA 30075-3087 | 2005-08-19 |
| 1902143381 | Andrew Ward | Psychologist | 515 E Crossville Rd, Suite 420, Roswell, GA 30075-3087 | 2013-01-06 |
| 1477761351 | Amedisys Georgia, L.L.C. | Home Health | 515 E Crossville Rd, Suite 310, Roswell, GA 30075-3087 | 2007-05-21 |
| 1457472359 | Damond J Logsdon | Clinical Neuropsychologist | 515 E Crossville Rd, Suite 420, Roswell, GA 30075-3087 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619485943 | Lisa Hahamovitch Meyer | Psychologist | 1100 Rome Dr, Roswell, GA 30075-2483 | 2018-01-22 |
| 1437595014 | Christine Mcginnis | Psychologist | 88 Sloan St, Suite A, Roswell, GA 30075-4946 | 2013-05-22 |
| 1659589349 | Harold David Quillian | Psychologist | 1175 Canton St, Suite Two, Roswell, GA 30075-3616 | 2007-05-18 |
| 1427277441 | Joanna W. Grisham | Psychologist | 1180 Grimes Bridge Rd, #400, Roswell, GA 30075-3986 | 2007-04-25 |
| 1124143763 | Michael Pitts, Psy.d., P.C. | Psychologist | 70 Mansell Ct, Suite 100, Roswell, GA 30076-1523 | 2007-03-20 |
| 1912042680 | Ann Elizabeth Mcneer | Psychologist | 1150 Upper Hembree Rd, Suite B, Roswell, GA 30076-1142 | 2007-02-21 |
| 1972648053 | North River Psychological Associates | Psychologist | 11205 Alpharetta Hwy., Ste. A-4, Roswell, GA 30076 | 2007-02-20 |
| 1679639249 | Harriet A Brodsky | Psychologist | 12 Norcross St, Suite 205, Roswell, GA 30075-7409 | 2006-12-28 |
| 1316010077 | Ralph Dewey Boynton | Psychologist | 1115 Upper Hembree Rd, Suite B, Roswell, GA 30076 | 2006-11-17 |
| 1235202276 | Leslie Kim Doehring | Psychologist | 580 West Crossville Road, Suite 201, Roswell, GA 30075-2506 | 2006-11-16 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.