Provider Demographics
NPI:1508256553
Name:ALBIN, ABBY LARKIN (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:LARKIN
Last Name:ALBIN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 THOMAS AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:BUZZARDS BAY
Mailing Address - State:MA
Mailing Address - Zip Code:02532-3454
Mailing Address - Country:US
Mailing Address - Phone:603-860-5581
Mailing Address - Fax:
Practice Address - Street 1:25 THOMAS AVE
Practice Address - Street 2:APT 3
Practice Address - City:BUZZARDS BAY
Practice Address - State:MA
Practice Address - Zip Code:02532-3454
Practice Address - Country:US
Practice Address - Phone:603-860-5581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-29
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA12085235Z00000X
NH1472235Z00000X
MA9527235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist