Provider Demographics
NPI:1396330429
Name:THOMAS-ABEDON, CAMERON CULVER HOVEY (MS, MED, CF-SLP)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:CULVER HOVEY
Last Name:THOMAS-ABEDON
Suffix:
Gender:F
Credentials:MS, MED, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 GIDEON RD
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-3601
Mailing Address - Country:US
Mailing Address - Phone:419-564-4403
Mailing Address - Fax:
Practice Address - Street 1:2915 N 4TH ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-1809
Practice Address - Country:US
Practice Address - Phone:928-779-1679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP12826235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist