Provider Demographics
NPI:1134455793
Name:LANDING, ABBY COLSON (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:COLSON
Last Name:LANDING
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 HASTINGS LANE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-3324
Mailing Address - Country:US
Mailing Address - Phone:252-338-8288
Mailing Address - Fax:252-334-9919
Practice Address - Street 1:208 HASTINGS LANE
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-3324
Practice Address - Country:US
Practice Address - Phone:252-334-9800
Practice Address - Fax:252-334-9919
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist