Provider Demographics
NPI:1427268150
Name:LEVIN, ABBY SUE (ABBY LEVIN)
Entity type:Individual
Prefix:MS
First Name:ABBY
Middle Name:SUE
Last Name:LEVIN
Suffix:
Gender:F
Credentials:ABBY LEVIN
Other - Prefix:MS
Other - First Name:ABBY
Other - Middle Name:SUE
Other - Last Name:LEVIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:34 LAURA LN
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841-2331
Mailing Address - Country:US
Mailing Address - Phone:603-329-3025
Mailing Address - Fax:
Practice Address - Street 1:23 ATKINSON DEPOT RD
Practice Address - Street 2:
Practice Address - City:ATKINSON
Practice Address - State:NH
Practice Address - Zip Code:03864
Practice Address - Country:US
Practice Address - Phone:617-688-0383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1066681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical