| Doctor Name: | MR. GREGORY DAVID LOGAN |
| NPI Number: | 1205972171 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., SLP |
| License Number: | SP653 |
| Business Practice Address: | 219 Minnesota Ave Whitefish, MT - 599372347 |
| Business Phone Number: | 4072701949 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5236, WHITEFISH |
| State: | MT |
| Postal Code: | 599375236 |
| Phone Number: | 4062701949 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 07/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP653 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |