Provider Demographics
NPI:1497941975
Name:LEVRINI, ABIGAIL LEIGH (PHD)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:LEIGH
Last Name:LEVRINI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46179 WESTLAKE DR
Mailing Address - Street 2:SUITE 330
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5874
Mailing Address - Country:US
Mailing Address - Phone:571-289-9729
Mailing Address - Fax:703-790-0380
Practice Address - Street 1:46179 WESTLAKE DR
Practice Address - Street 2:SUITE 330
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5874
Practice Address - Country:US
Practice Address - Phone:571-289-9729
Practice Address - Fax:703-790-0380
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
VA0810004159103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health