Provider Demographics
NPI:1992921613
Name:ABNEY, PAUL CRAIG (PHD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:CRAIG
Last Name:ABNEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3229
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00851-3229
Mailing Address - Country:US
Mailing Address - Phone:340-692-4142
Mailing Address - Fax:
Practice Address - Street 1:3009 ORANGE GROVE SHOPPING CENTER
Practice Address - Street 2:SUITE 11
Practice Address - City:ST. CROIX,
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-513-9689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17039101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional