Provider Demographics
NPI:1184856569
Name:COUSE, ABIGAIL (MS CCC-A)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:COUSE
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 N BROADWAY ST STE A
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:IA
Mailing Address - Zip Code:51566-1461
Mailing Address - Country:US
Mailing Address - Phone:712-623-4802
Mailing Address - Fax:712-623-9316
Practice Address - Street 1:1010 N BROADWAY ST STE A
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:IA
Practice Address - Zip Code:51566-1461
Practice Address - Country:US
Practice Address - Phone:712-623-4802
Practice Address - Fax:712-623-9316
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter