Dr. Diane Logan
Addiction Counselor (Substance Use Disorder) Clinical Psychologist
75-5751 Kuakini Hwy Ste 104
Kailua Kona
, Hawaii 96740-1705
Dr. Diane Logan
Addiction Counselor (Substance Use Disorder) Clinical Psychologist
75-5751 Kuakini Hwy Ste 104
Kailua Kona
, Hawaii 96740-1705
(808) 785-5443
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Diane Logan
- Po Box 5488
- Kailua Kona, HI
- Zip : 96745-5488
- Phone : (808) 785-5443
Second Address
- Dr. Diane Logan
- 75-5751 Kuakini Hwy Ste 104
- Kailua Kona, HI
- Zip : 96740-1705
- Phone : (808) 326-5629
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 2055-19 | HI |
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 2055-19I | HI |
| Y | 103G00000X | Clinical Psychologist | PSY-1550 | HI |
| Y | 103TC0700X | Clinical Psychologist | PSY-1550 | HI |
National Provider Identifier
| NPI | 1003207259 |
|---|---|
| Provider Name | Dr. Diane Logan |
| First Address | Kailua Kona, HI 96745-5488 |
| Second Address | Kailua Kona, HI 96740-1705 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/02/2015 |
| Last Update Date | 15/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.