Linzy Mary Abraham, PH.D, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Morrisville, NC

NPI 1154571107 · NPPES record last updated Sep 26, 2008

Key facts

NPI
1154571107
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3175 (NC)
Practice address
412 Canyon Lake Cir
Morrisville, NC 27560-7787
Phone
(919) 465-3416
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3175NCMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3175 NC Yes

Addresses

Primary practice location

412 Canyon Lake Cir
Morrisville, NC 27560-7787

Mailing address

412 Canyon Lake Cir
Morrisville, NC 27560-7787
Phone (919) 465-3416

Other providers in Morrisville, NC

All providers in Morrisville, NC · Speech-Language Pathologist in North Carolina

Sources for this page

Verify at the official NPI Registry.