Provider Demographics
NPI:1891303525
Name:ROMERSBERGER, ABIGAIL GRACE
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:GRACE
Last Name:ROMERSBERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2924 TURBOT DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3028
Mailing Address - Country:US
Mailing Address - Phone:260-402-3482
Mailing Address - Fax:
Practice Address - Street 1:7818 BIG SKY DR STE 101
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-2840
Practice Address - Country:US
Practice Address - Phone:608-203-6267
Practice Address - Fax:608-203-6696
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health