Provider Demographics
NPI:1700116100
Name:JANNEY, ABIGAIL MCINERNEY
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MCINERNEY
Last Name:JANNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 PAU NEL DR
Mailing Address - Street 2:
Mailing Address - City:LANDENBERG
Mailing Address - State:PA
Mailing Address - Zip Code:19350-1377
Mailing Address - Country:US
Mailing Address - Phone:302-893-7070
Mailing Address - Fax:
Practice Address - Street 1:726 YORKLYN RD STE 120
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8700
Practice Address - Country:US
Practice Address - Phone:302-235-3398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017300103TC0700X
DEB1-0000932103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical