Provider Demographics
NPI:1376000729
Name:STOCKMAN, ABIGAIL (LMFT)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:STOCKMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 S. GREENO ROAD
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532
Mailing Address - Country:US
Mailing Address - Phone:251-929-5456
Mailing Address - Fax:251-928-2872
Practice Address - Street 1:372 S. GREENO ROAD
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532
Practice Address - Country:US
Practice Address - Phone:251-929-5456
Practice Address - Fax:251-928-2872
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL495106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist