Provider Demographics
NPI:1124710249
Name:JAY, ABIGAIL (PSYD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:
Last Name:JAY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 S ALBION ST STE 427
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4043
Mailing Address - Country:US
Mailing Address - Phone:303-940-7740
Mailing Address - Fax:
Practice Address - Street 1:1660 S ALBION ST STE 427
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4043
Practice Address - Country:US
Practice Address - Phone:303-940-7740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSYC.00015055390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program