Provider Demographics
NPI:1922315712
Name:CARHILL, ABIGAIL MARIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MARIE
Last Name:CARHILL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12000 ELM CREEK BLVD
Mailing Address - Street 2:SUITE 210- NORTH MEMORIAL REHAB SERVICES
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369
Mailing Address - Country:US
Mailing Address - Phone:763-520-4916
Mailing Address - Fax:763-581-9101
Practice Address - Street 1:12000 ELM CREEK BLVD
Practice Address - Street 2:SUITE 210- NORTH MEMORIAL REHAB SERVICES
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369
Practice Address - Country:US
Practice Address - Phone:763-520-4916
Practice Address - Fax:763-581-9101
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8566235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist