Provider Demographics
NPI:1841028859
Name:FAITH, LOGAN PAIGE
Entity type:Individual
Prefix:
First Name:LOGAN
Middle Name:PAIGE
Last Name:FAITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 W PARK WAY
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-3200
Mailing Address - Country:US
Mailing Address - Phone:330-212-4513
Mailing Address - Fax:
Practice Address - Street 1:7355 MUDBROOK ST NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-1103
Practice Address - Country:US
Practice Address - Phone:330-830-8034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty