Provider Demographics
NPI:1881986305
Name:JENKINS, ABIGAIL LAUREN (PHD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:LAUREN
Last Name:JENKINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:588 N ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-1360
Mailing Address - Country:US
Mailing Address - Phone:608-217-2534
Mailing Address - Fax:
Practice Address - Street 1:588 N ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-1360
Practice Address - Country:US
Practice Address - Phone:608-217-2534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC2200X
UT9166547103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent