| Doctor Name: | DR. ISABEALL TALMADGE LOGAN |
| NPI Number: | 1063584431 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | LMHC 5183 |
| Business Practice Address: | 89 Main St. Counseling Service Of Addison County Middlebury, VT - 057538806 |
| Business Phone Number: | 8023772852 |
| Business Fax Number: | |
| Mailing Address: | 1641 Route 7 S, MIDDLEBURY |
| State: | VT |
| Postal Code: | 057538806 |
| Phone Number: | 8023772852 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 12/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LMHC 5183 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |