Provider Demographics
NPI:1912333469
Name:ABNEY, ALICE CATHERINE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:CATHERINE
Last Name:ABNEY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3562 RIVER RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-9052
Mailing Address - Country:US
Mailing Address - Phone:419-873-5859
Mailing Address - Fax:
Practice Address - Street 1:3562 RIVER RIDGE WAY
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-9052
Practice Address - Country:US
Practice Address - Phone:419-873-5859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH235Z00000X
OHSP.8624235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist