Provider Demographics
NPI:1841557436
Name:LINCOLN, ABIGAIL GENE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:GENE
Last Name:LINCOLN
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Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:407 W 7TH ST
Mailing Address - Street 2:#123
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90731-3257
Mailing Address - Country:US
Mailing Address - Phone:949-581-8239
Mailing Address - Fax:949-859-0849
Practice Address - Street 1:23361 MADERO
Practice Address - Street 2:SUITE 200
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-2715
Practice Address - Country:US
Practice Address - Phone:949-581-8239
Practice Address - Fax:949-859-0849
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
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Provider Licenses
StateLicense IDTaxonomies
CA19738235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist