Provider Demographics
NPI:1801658398
Name:HALL, ABIGAIL WHITNEY (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:WHITNEY
Last Name:HALL
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14634 VILLAGE LOOP
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-5201
Mailing Address - Country:US
Mailing Address - Phone:276-701-9257
Mailing Address - Fax:
Practice Address - Street 1:225 MIDWAY MEDICAL PARK
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-1680
Practice Address - Country:US
Practice Address - Phone:423-797-4555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist