National Provider Identifier

Anna Elizabeth Abraham, M.S., CCC-SLP

Anna Elizabeth Abraham, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Newark, NY and a listed phone number of (315) 332-3310.

NPI 1295384865Newark, NYSpeech-Language Pathologist

Profile Overview

NPI
1295384865
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 06, 2019
Last Updated
September 06, 2019

Practice Location

  • 439 W Maple Ave
  • Newark, NY 14513-2062

Phone: (315) 332-3310

Mailing Address

  • 80 Ontario St
  • Phelps, NY 14532-9765

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1295384865
Entity Type
Individual
Last Name
Abraham
First Name
Anna
Middle Name
Elizabeth
Credential
M.S., CCC-SLP
Mailing Street Address
80 Ontario St
Mailing City
Phelps
Mailing State
NY
Mailing ZIP Code
14532-9765
Mailing Country
US
Practice Street Address
439 W Maple Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-2062
Practice Country
US
Practice Phone
(315) 332-3310
Enumeration Date
September 06, 2019
Last Updated
September 06, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)