Provider Demographics
NPI:1184075822
Name:ABELL, REBECCA LAUREN (PSYD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LAUREN
Last Name:ABELL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 FLORIDA AVE NW APT B
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1874
Mailing Address - Country:US
Mailing Address - Phone:301-751-2970
Mailing Address - Fax:
Practice Address - Street 1:10400 CONNECTICUT AVE STE 500
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3944
Practice Address - Country:US
Practice Address - Phone:301-751-2970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05713103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical