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

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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