Provider Demographics
NPI:1235443086
Name:ABELN, PAULA M (BC-HIS)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:M
Last Name:ABELN
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S BURR ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-4584
Mailing Address - Country:US
Mailing Address - Phone:605-990-4327
Mailing Address - Fax:605-990-4326
Practice Address - Street 1:1200 S BURR ST
Practice Address - Street 2:SUITE A
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-4584
Practice Address - Country:US
Practice Address - Phone:605-990-4327
Practice Address - Fax:605-990-4326
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD371 H237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist