National Provider Identifier
Amy Abbasov, M.ED.LPC-S
Amy Abbasov, M.ED.LPC-S is listed in the NPPES registry with a primary specialty of Professional Counselor in Ithaca, NY and a listed phone number of (806) 236-4156.
Profile Overview
- NPI
- 1023659679
- Provider Type
- Individual
- Primary Specialty
- Professional Counselor
- Enumeration Date
- October 04, 2019
- Last Updated
- May 04, 2023
Practice Location
- 23 Besemer Ln
- Ithaca, NY 14850-9699
Phone: (806) 236-4156
Specialties
- Professional Counselor (101YP2500X)
Full Record
- NPI
- 1023659679
- Entity Type
- Individual
- Last Name
- Abbasov
- First Name
- Amy
- Name Prefix
- Mrs.
- Credential
- M.ED.LPC-S
- Mailing Street Address
- 23 Besemer Ln
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9699
- Mailing Country
- US
- Mailing Phone
- (806) 236-4156
- Practice Street Address
- 23 Besemer Ln
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9699
- Practice Country
- US
- Practice Phone
- (806) 236-4156
- Enumeration Date
- October 04, 2019
- Last Updated
- May 04, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 01, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Professional Counselor (101YP2500X)
- Other Identifiers
- 65000 (TX, Texas State Board Of Examiners Of Professional Counselors)