Provider Demographics
NPI:1205525755
Name:WALKER, ABIGALE ELIZABETH (MHC-LP)
Entity type:Individual
Prefix:
First Name:ABIGALE
Middle Name:ELIZABETH
Last Name:WALKER
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 FRANCINE DR N
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-3617
Mailing Address - Country:US
Mailing Address - Phone:718-928-8905
Mailing Address - Fax:718-360-0215
Practice Address - Street 1:15 FRANCINE DR N
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-3617
Practice Address - Country:US
Practice Address - Phone:718-928-8905
Practice Address - Fax:718-360-0215
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty