Provider Demographics
NPI:1811926892
Name:ABRAHAMSON, JUDY ELAINE (MA, CCC/A)
Entity type:Individual
Prefix:MS
First Name:JUDY
Middle Name:ELAINE
Last Name:ABRAHAMSON
Suffix:
Gender:F
Credentials:MA, CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 MONTOPOLIS DR
Mailing Address - Street 2:VA OUTPATIENT CLINIC, AUDIOLOGY
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-6411
Mailing Address - Country:US
Mailing Address - Phone:512-389-6505
Mailing Address - Fax:512-389-6559
Practice Address - Street 1:2901 MONTOPOLIS DR
Practice Address - Street 2:VA OUTPATIENT CLINIC, AUDIOLOGY
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-6411
Practice Address - Country:US
Practice Address - Phone:512-389-6505
Practice Address - Fax:512-389-6559
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50208231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist