Abby Mae Pearson, M.A. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Odessa, DE

NPI 1043048994 · NPPES record last updated Jul 23, 2024

Key facts

NPI
1043048994
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
O1-0012387 (DE)
Practice address
313 S 5TH St
Odessa, DE 19730-2078
Phone
(302) 376-4128
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
O1-0012387DEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware Past
since Jul 28, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X O1-0012387 DE Yes

Addresses

Primary practice location

313 S 5TH St
Odessa, DE 19730-2078

Mailing address

378 Brick Mill Rd
Middletown, DE 19709-9603

Other providers in Odessa, DE

All providers in Odessa, DE · Speech-Language Pathologist in Delaware

Sources for this page

Verify at the official NPI Registry.