Provider Demographics
NPI:1285128850
Name:COLE, ABIGAIL (PSYD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:SCHWARZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:6314 RUCKER RD STE A
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-4800
Mailing Address - Country:US
Mailing Address - Phone:317-483-4803
Mailing Address - Fax:317-465-9689
Practice Address - Street 1:6314 RUCKER RD STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-4800
Practice Address - Country:US
Practice Address - Phone:317-483-4803
Practice Address - Fax:317-465-9689
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20043149A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical