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Dr. Theodore P. Logan, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Rockland, Maine
NPI 1427054873

Theodore P. Logan is an Addiction Medicine (Psychiatry & Neurology) Physician based in South Portland, ME and is specialized in Addiction Medicine. Theodore P. Logan practices in Rockland, ME and has the professional credentials of MD. The NPI Number for Theodore P. Logan is 1427054873 and holds a License No. 012617 (Maine).

The current practice location address for Theodore P. Logan is 12 Union St, Rockland, ME and can be reached out via phone at 207-701-4400 and via fax at 207-701-4487. You can also correspond with Theodore P. Logan through the mailing address at 300 SOUTHBOROUGH DR, SOUTH PORTLAND, ME - 04106-6914 (mailing address contact number: 207-661-2018).

Location: 12 Union St, Rockland, ME, 04106-6914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427054873
Provider Name
Theodore P. Logan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12 Union St, Rockland, ME, 04106-6914
Phone Number
207-701-4400
Fax Number
207-701-4487
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
255750099 05 ME
047853 01 ME ANTHEM STAR NUMBER
institution
Provider Business Practice Location Address Details
Address
12 Union St
City
Rockland
State
Maine
Zip
04841-2739
Phone Number
207-701-4400
Fax Number
207-701-4487
person
Provider Business Mailing Address Details
Address
300 Southborough Dr
City
South Portland
State
Maine
Zip
04106-6914
Phone Number
207-661-2018
Fax Number
207-661-2033
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
MD12617 (Maine)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
MD12617 (Maine)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
012617 (Maine)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
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