Provider Demographics
NPI:1801926688
Name:DELONG, ABBE GAIL (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ABBE
Middle Name:GAIL
Last Name:DELONG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1619 KENSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-5949
Mailing Address - Country:US
Mailing Address - Phone:615-893-8193
Mailing Address - Fax:
Practice Address - Street 1:98 MAYFIELD DR STE C
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3035
Practice Address - Country:US
Practice Address - Phone:615-962-1502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN838106H00000X
CAMFC45743106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist