Provider Demographics
NPI:1629687355
Name:STAMBUL, ABIGAIL (LPC, MA, NCC)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:
Last Name:STAMBUL
Suffix:
Gender:F
Credentials:LPC, MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 MARTIN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:ENON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:16120-1201
Mailing Address - Country:US
Mailing Address - Phone:724-730-5708
Mailing Address - Fax:
Practice Address - Street 1:3 E POLAND AVE
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:PA
Practice Address - Zip Code:16112-9109
Practice Address - Country:US
Practice Address - Phone:724-730-5708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012438101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty