Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beth Ann Logan, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1164831632

Beth Ann Logan, PHD is a Clinical Child & Adolescent Psychologist in Boston, Massachusetts. Licensed in Delaware, Massachusetts, Pennsylvania and Rhode Island. Registered with an NPI since 2014.

Licensed in
DE, MA, PA, RI
In the registry since
2014
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 11765 (MA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PS01916 (RI)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X (DE)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PS017869 (PA)

Record details

NPI number1164831632
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 8, 2014
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022

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