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

Patricia Logan, PHD

Individual provider Clinical Psychologist · NPI 1083922603

Patricia Logan, PHD is a Clinical Psychologist in Jackson, Mississippi. Qualified in 2000, 26 years ago. Practices with UT Lebonheur Pediatric Specialists, Inc, a 172-clinician group and accepts Medicare assignment. Licensed in Mississippi and Ohio.

Years since qualifying
26
Licensed in
MS, OH
In the registry since
2010
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.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence T55974 (MS)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6715 (OH)

Record details

NPI number1083922603
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 16, 2010
Last updated in NPPESDecember 23, 2015
Mailing address2500 N State St, Jackson, MS 39216-4500

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Ut Lebonheur Pediatric Specialists, Inc. — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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