Provider Demographics
NPI:1124879499
Name:PRIEST, ABIGAIL FRANCES (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:FRANCES
Last Name:PRIEST
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 1:29 LOGAN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-2857
Mailing Address - Country:US
Mailing Address - Phone:828-559-2164
Mailing Address - Fax:
Practice Address - Street 1:602 MORGANTON BLVD SW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5823
Practice Address - Country:US
Practice Address - Phone:828-559-2164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30002593235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist