Provider Demographics
NPI:1669279642
Name:POWELL, ABIGAIL REBECCA (PHD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:REBECCA
Last Name:POWELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4328 RUBERY DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-1148
Mailing Address - Country:US
Mailing Address - Phone:214-642-9823
Mailing Address - Fax:
Practice Address - Street 1:1135 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7533
Practice Address - Country:US
Practice Address - Phone:817-329-5041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist