Provider Demographics
NPI:1477150878
Name:BRIDENBECKER, ABIGAIL LUCILLE (BS, MS)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:LUCILLE
Last Name:BRIDENBECKER
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:DR
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:HARKEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:1221 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2701
Mailing Address - Country:US
Mailing Address - Phone:859-258-6200
Mailing Address - Fax:859-258-6203
Practice Address - Street 1:1720 NICHOLASVILLE RD STE 500
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1487
Practice Address - Country:US
Practice Address - Phone:859-277-1114
Practice Address - Fax:859-277-0541
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81304237600000X, 231H00000X
KY279530231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter