Provider Demographics
NPI:1528598976
Name:CONLEY, ABIGAIL ASHMORE
Entity Type:Individual
Prefix:MISS
First Name:ABIGAIL
Middle Name:ASHMORE
Last Name:CONLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3219
Mailing Address - Country:US
Mailing Address - Phone:317-584-5166
Mailing Address - Fax:317-288-3396
Practice Address - Street 1:15 PACELLA PARK DR STE 210
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-1700
Practice Address - Country:US
Practice Address - Phone:781-885-1970
Practice Address - Fax:317-288-3396
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst