Provider Demographics
NPI:1912631243
Name:ALBRECHT, ABBIGAYLE CHRISTINE (MS, SLP)
Entity Type:Individual
Prefix:
First Name:ABBIGAYLE
Middle Name:CHRISTINE
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16906 SPIRIT BRK UNIT 2
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:TX
Mailing Address - Zip Code:78154-4160
Mailing Address - Country:US
Mailing Address - Phone:903-701-3038
Mailing Address - Fax:
Practice Address - Street 1:16906 SPIRIT BRK UNIT 2
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:TX
Practice Address - Zip Code:78154-4160
Practice Address - Country:US
Practice Address - Phone:903-701-3038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119551235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist