Provider Demographics
NPI:1437380425
Name:LOGUE, ALICIA JOY (LPC, NCC, BCBA)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:JOY
Last Name:LOGUE
Suffix:
Gender:F
Credentials:LPC, NCC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 MCKNIGHT RD # 1129
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3423
Mailing Address - Country:US
Mailing Address - Phone:412-342-8424
Mailing Address - Fax:
Practice Address - Street 1:4801 MCKNIGHT RD # 1129
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3423
Practice Address - Country:US
Practice Address - Phone:412-342-8424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-08-4188103K00000X
PAPC005207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst