Provider Demographics
NPI:1437771516
Name:ZHANG, ABIGAIL ANN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ANN
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:ANN
Other - Last Name:DELMATIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-4007
Mailing Address - Country:US
Mailing Address - Phone:530-538-2900
Mailing Address - Fax:530-538-2909
Practice Address - Street 1:2075 POPLAR ST
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-3000
Practice Address - Country:US
Practice Address - Phone:530-538-2910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21274235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA21274OtherSTATE LICENSE NUMBER
14034665OtherNATIONAL CERTIFICATION WITH AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION