CORYN LOGUE (NPI# 1770108235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770108235 |
| Entity Type | Individual |
| Full Name | CORYN LOGUE |
| Credential | ED.S |
| Practice Address |
3029 Sw Lewis Pl Lees Summit MO 64081-4146 |
| Practice Telephone | 8167778064 |
| Mailing Telephone | 8167778064 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
3754799592 | KS | Behavioral Health & Social Service Providers |
| Street Address |
3029 SW LEWIS PL |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64081-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1720565179 | Yvonne Nuffer | Counselor | 304 Sw Persels Rd, Lees Summit, MO 64081 | 2018-07-27 |
| 1356845192 | Humble Hearts Counseling Services LLC | Clinic/Center | 1448 Sw Highland Drive, Lees Summit, MO 64081 | 2018-03-19 |
| 1679963649 | Molly Thompson | Occupational Therapy Assistant | 600 Sw Pryor, Lees Summit, MO 64081 | 2015-01-29 |
| 1639584790 | Kathryn Kincaide | Nurse Practitioner | 506 Nw Murray Road, Lee's Summit, MO 64081 | 2014-06-27 |
| 1154660678 | Jay Hatfield Mobility LLC | Durable Medical Equipment & Medical Supplies | 1115 Sw Oldham Parkway, Lee's Summit, MO 64081 | 2013-02-04 |
| 1285995688 | Catherine Anne Harris | Developmental Therapist | 226 Se Douglas, Suite 205, Lee's Summit, MO 64081 | 2012-06-01 |
| 1205113230 | Heartland Podiatry, P.C. | Podiatrist | 1161 Se Oldham Parkway, Lees Summit, MO 64081 | 2011-11-04 |
| 1740564723 | Melvin Turner Jr. | Pharmacist | 2501 Winteroak Cir, Kansas City, MO 64081 | 2011-10-07 |
| Find all providers in zip 64081 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611045 | Margaret Marie Pilachowski | Psychologist | 301 Ne Tudor Rd, Lees Summit, MO 64086-5702 | 2020-08-28 |
| 1487267597 | Kay Kelly | Psychologist | 301 Ne Tudor Rd, Lees Summit, MO 64086-5702 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196513 | Summer Righter-askin | Psychologist | 1215 E Truman Rd Rm 349, Kansas City, MO 64106-3152 | 2020-05-27 |
| 1629691159 | Michael Leon Williams | Psychologist | 2901 Troost Ave # 64109, Kansas City, MO 64109-1538 | 2020-05-19 |
| 1417505033 | Debra Ann Absolon | Psychologist | 900 Forder Crossing Dr, Saint Louis, MO 63129-7115 | 2019-08-27 |
| 1558875732 | Eliza Kathleen Hutchings | Psychologist | 1518 Graham St, Saint Louis, MO 63139-3002 | 2017-11-26 |
| 1902325251 | Rachel Ann Brown | Psychologist | 7746 Wise Ave, Saint Louis, MO 63117-1543 | 2017-09-18 |
| 1366981011 | Barbara Joan Lombardo | Psychologist | 9308 Paul Adrian Dr, Saint Louis, MO 63126-2608 | 2017-02-14 |
| 1740724293 | Adam Pechmann | Psychologist | 418 Mannington Dr, Saint Peters, MO 63376-7660 | 2016-12-16 |
| 1760828768 | Kimberly Nicole Yates | Psychologist | 4862 Bluesage Trl, Florissant, MO 63033-7502 | 2013-05-16 |
| 1619584257 | Heather Ferguson | Psychologist | 315 E Dunklin St, Jefferson City, MO 65101-3128 | 2020-09-28 |
| 1891300091 | Jessica Biviano | Psychologist | 2901 Troost Ave, Kansas City, MO 64109-1538 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64081 |
Please comment or provide details below to improve the information on CORYN LOGUE.
| 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.