Provider Demographics
NPI:1578905378
Name:PESZEKI, ABIGALE MARIE
Entity Type:Individual
Prefix:
First Name:ABIGALE
Middle Name:MARIE
Last Name:PESZEKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ABIGALE
Other - Middle Name:MARIE
Other - Last Name:BECVAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1341 MEREDITH WAY
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-8519
Mailing Address - Country:US
Mailing Address - Phone:931-206-0464
Mailing Address - Fax:
Practice Address - Street 1:1820 MEMORIAL CIR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4539
Practice Address - Country:US
Practice Address - Phone:931-920-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health