Provider Demographics
NPI:1720640584
Name:DUDLEY, ABIGAIL REBECCA (MSW)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:REBECCA
Last Name:DUDLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 COMMUNICATION WAY
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-1883
Mailing Address - Country:US
Mailing Address - Phone:508-815-5373
Mailing Address - Fax:
Practice Address - Street 1:270 COMMUNICATION WAY
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-1883
Practice Address - Country:US
Practice Address - Phone:508-815-5373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health