Provider Demographics
NPI:1033444922
Name:IRWIN, ABBY MELISSA (MD)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:MELISSA
Last Name:IRWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:153 VICTORIA LN
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9219
Mailing Address - Country:US
Mailing Address - Phone:570-428-9405
Mailing Address - Fax:
Practice Address - Street 1:115 FARLEY CIR
Practice Address - Street 2:SUITE 304
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9252
Practice Address - Country:US
Practice Address - Phone:570-428-9405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1091292084P0800X
PAMD4537612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry