Provider Demographics
NPI:1962079053
Name:ERNEST, ABIGAIL MAE (AUD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:MAE
Last Name:ERNEST
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:ABIGAIL
Other - Middle Name:MAE
Other - Last Name:STECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:9015 ARBOR ST STE 118
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2056
Mailing Address - Country:US
Mailing Address - Phone:402-943-8990
Mailing Address - Fax:
Practice Address - Street 1:9015 ARBOR ST STE 118
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2056
Practice Address - Country:US
Practice Address - Phone:402-943-8990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE452231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist