Provider Demographics
NPI:1790177806
Name:TOWER, ABBY LEE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:LEE
Last Name:TOWER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 JEFFERSON PARK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:IN
Mailing Address - Zip Code:46167-8826
Mailing Address - Country:US
Mailing Address - Phone:765-425-4169
Mailing Address - Fax:
Practice Address - Street 1:2141 N DAN JONES RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-6023
Practice Address - Country:US
Practice Address - Phone:317-943-3932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22005908A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist