Provider Demographics
NPI:1548404601
Name:EUBANK, ABBY TAYLOR (MS CFY-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:TAYLOR
Last Name:EUBANK
Suffix:
Gender:F
Credentials:MS CFY-SLP
Other - Prefix:MS
Other - First Name:ABBY
Other - Middle Name:TAYLOR
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2311 W 72ND TER
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3348
Mailing Address - Country:US
Mailing Address - Phone:913-709-7617
Mailing Address - Fax:
Practice Address - Street 1:7620 METCALF AVE STE M
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2996
Practice Address - Country:US
Practice Address - Phone:913-383-9014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist