DR. SALLY J LOGERQUIST (NPI# 1740311547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740311547 |
| Entity Type | Individual |
| Full Name | DR. SALLY J LOGERQUIST |
| Credential | PH.D. |
| Practice Address |
4602 W Sweetwater Ave Glendale AZ 85304-1505 |
| Mailing Address |
Po Box 4673 Scottsdale AZ 85261-4673 |
| Practice Telephone | 6028966513 |
| Practice Fax Number | 6028966520 |
| Mailing Telephone | 6028966513 |
| Mailing Fax Number | 6028966520 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3412 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
4602 W SWEETWATER AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458591 | Socia Orozco | Registered Nurse | 4602 W Sweetwater Ave, Glendale, AZ 85304-1505 | 2020-08-19 |
| 1548871924 | Jamie Reaney | Registered Nurse | 4602 W Sweetwater Ave, Glendale, AZ 85304-1505 | 2020-08-11 |
| 1659981132 | Kami Zeckzer Walters | Speech-Language Pathologist | 4602 W Sweetwater Ave, Glendale, AZ 85304-1505 | 2020-08-09 |
| 1124570668 | Jaqueline Lebaron Jenkins | Speech-Language Pathologist | 4602 W Sweetwater Ave, Glendale, AZ 85304 | 2016-11-01 |
| 1356746473 | Vanessa Schumperli | Occupational Therapy Assistant | 4602 W Sweetwater Ave, Glendale, AZ 85304-1505 | 2014-10-31 |
| 1710011051 | Leann Brown Slezak | Speech-Language Pathologist | 4602 W Sweetwater Ave, Glendale, AZ 85304-1505 | 2007-03-16 |
| 1720112394 | Washington Elementary School District | Speech-Language Pathologist | 4602 W Sweetwater Ave, Glendale, AZ 85304-1505 | 2007-03-15 |
| 1851424428 | Jacque Catalano Nelson | Occupational Therapist | 4602 W Sweetwater Ave, Glendale, AZ 85304-1505 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497226864 | Austin Mccall | Psychologist | 4425 W Olive Ave Ste 151, Glendale, AZ 85302-3855 | 2018-12-11 |
| 1730595646 | Patrick Lockwood | Psychologist | 130 N Brand Blvd Ste 202, Glendale, CA 91203-2617 | 2014-07-11 |
| 1154744415 | Anahid Assatourian | Psychologist | 3520 Stancrest Dr, Glendale, CA 91208-1322 | 2014-01-22 |
| 1013205822 | Nanako Negome-kapur | Psychologist | 17218 N 72nd Dr Ste 101, Glendale, AZ 85308 | 2011-07-13 |
| 1558591172 | Laura Marie Wendlandt | Psychologist | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2009-07-16 |
| 1346499761 | Anna Faye Leshner | Psychologist | 1510 S Central Ave Ste 210, Glendale, CA 91204-2557 | 2008-09-10 |
| 1184816233 | Juanita Mae Richard | Psychologist | 15082 N 59th Ave Apt 157, Glendale, AZ 85306-5234 | 2007-08-13 |
| 1417163528 | Donna M.l. Heretick | Psychologist | 6451 W Prickly Pear Trl, Glendale, AZ 85310-1023 | 2007-05-15 |
| 1417077298 | Eva J. Hageman | Psychologist | 20012 N 35th Ave, Glendale, AZ 85308-2204 | 2007-03-29 |
| 1811016942 | Tina Alexandrian | Psychologist | 100 N Brand Blvd Ste 516, Glendale, CA 91203-2614 | 2007-03-28 |
| Find all providers in GLENDALE | ||||
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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.