Provider Demographics
NPI:1609594571
Name:HASBERRY, ABIGAIL KATHLEEN (PHD, MED)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:KATHLEEN
Last Name:HASBERRY
Suffix:
Gender:F
Credentials:PHD, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12790 FM 1560 N UNIT 1007
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-2242
Mailing Address - Country:US
Mailing Address - Phone:210-870-8688
Mailing Address - Fax:
Practice Address - Street 1:11303 FAIR HOLLOW DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3833
Practice Address - Country:US
Practice Address - Phone:210-870-8688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist