Provider Demographics
NPI:1962658716
Name:ADAMS STEVENS, ABBY L
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:L
Last Name:ADAMS STEVENS
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 1:1001 SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-1474
Mailing Address - Country:US
Mailing Address - Phone:317-745-8271
Mailing Address - Fax:317-718-0097
Practice Address - Street 1:1001 SYCAMORE LN
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-1474
Practice Address - Country:US
Practice Address - Phone:317-745-8271
Practice Address - Fax:317-718-0097
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22004420A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist