Provider Demographics
NPI:1154123016
Name:STEVENS, ABIGAIL ROBIDEAUX (PPS)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ROBIDEAUX
Last Name:STEVENS
Suffix:
Gender:
Credentials:PPS
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:ANNE
Other - Last Name:ROBIDEAUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 BEAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-4196
Mailing Address - Country:US
Mailing Address - Phone:831-438-0610
Mailing Address - Fax:
Practice Address - Street 1:8 BEAN CREEK RD
Practice Address - Street 2:
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-4196
Practice Address - Country:US
Practice Address - Phone:831-438-0610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool