Individual ProviderLeah Dare LoganPsychologistBehavioral Health & Social Service ProvidersPractice Address480 Washington St, Ste 4, Norwood, MA 02062-2347(508) 813-3593PECOS EnrollmentBased on the most recent information from CMS, provider Leah Dare Logan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1477846426Provider TypeIndividualFull NameLogan, Leah DareTitleDr.CredentialPSY.D.GenderFemaleSole ProprietorYesEnumeration Date5/24/2011Last Updated4/19/2016Contact InformationPractice LocationPractice Address480 Washington St, Ste 4, Norwood, MA 02062-2347Phone(508) 813-3593FaxUnlisted FaxMailing LocationMailing Address480 Washington St, Ste 4, Norwood, MA 02062-2347Phone(508) 813-3593Fax(774) 469-3180Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense8941Massachusetts