Provider Demographics
NPI:1265176291
Name:ZAREFOSS, ABIGAIL IRENE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:IRENE
Last Name:ZAREFOSS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:IRENE
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1610 HILTON AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-2760
Mailing Address - Country:US
Mailing Address - Phone:717-542-2900
Mailing Address - Fax:
Practice Address - Street 1:1575 BANNISTER ST STE 4
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-4946
Practice Address - Country:US
Practice Address - Phone:717-812-5850
Practice Address - Fax:717-812-5865
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL014605235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist