Provider Demographics
NPI:1942304308
Name:ABDO, ROBERT (EDD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:ABDO
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 JAMESTOWN RD
Mailing Address - Street 2:STE. 101
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3380
Mailing Address - Country:US
Mailing Address - Phone:757-220-8800
Mailing Address - Fax:757-220-8811
Practice Address - Street 1:1309 JAMESTOWN RD
Practice Address - Street 2:STE. 101
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3380
Practice Address - Country:US
Practice Address - Phone:757-220-8800
Practice Address - Fax:757-220-8811
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717-000004106H00000X
VA0701001162101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health