Provider Demographics
NPI:1518374339
Name:FORSTER, ABBY (MA SLP)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:FORSTER
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17762 83RD AVE N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-1758
Mailing Address - Country:US
Mailing Address - Phone:763-486-2648
Mailing Address - Fax:
Practice Address - Street 1:17762 83RD AVE N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-1758
Practice Address - Country:US
Practice Address - Phone:763-486-2648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist