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

Dustin M Logan, PHD

Individual provider Clinical Psychologist · NPI 1851578512

Dustin M Logan, PHD is a Clinical Psychologist in Palmer, Alaska. Qualified in 2015, 11 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Alaska and Washington.

Years since qualifying
11
Licensed in
AK, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

8201 N Michaelson St
Palmer, AK 99645-8196
Phone: (907) 745-5066
Fax: (877) 640-1413
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 121536 (AK)
Clinical Psychologist Taxonomy 103TC0700X · Licence 60616291 (WA)

Record details

NPI number1851578512
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 24, 2008
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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