Provider Demographics
NPI:1376128843
Name:ORDWAY, ABIGAIL (MA, CAS)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:ORDWAY
Suffix:
Gender:F
Credentials:MA, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 ALEWIVE RD
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6101
Mailing Address - Country:US
Mailing Address - Phone:207-985-3960
Mailing Address - Fax:
Practice Address - Street 1:177 ALEWIVE RD
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6101
Practice Address - Country:US
Practice Address - Phone:207-985-3960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty