Provider Demographics
NPI:1952965444
Name:RITTER, LOGAN LEE ANN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LOGAN
Middle Name:LEE ANN
Last Name:RITTER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12400 OLD MERIDIAN ST UNIT 203
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-6104
Mailing Address - Country:US
Mailing Address - Phone:765-238-0232
Mailing Address - Fax:
Practice Address - Street 1:12400 OLD MERIDIAN ST UNIT 203
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-6104
Practice Address - Country:US
Practice Address - Phone:765-238-0232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN220075251A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist