Dawn Abbuhl
Individual provider Active NPI Psychologist · Latham, NY
NPI 1477565109 · NPPES record last updated Apr 17, 2008
Key facts
- NPI
- 1477565109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 014303-1 (NY)
- Practice address
- 711 Troy Schenectady Rd
Suite 216
Latham, NY 12110-2442 - Phone
- (518) 786-1665
- Fax
- (518) 785-0056
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014303-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Therapy Group PT OT SLP and Psychology Services PLLC | Past | Accepting new patients | |
| Thomas Nicolla Consulting Services, PLLC | Past | Accepting new patients | |
| Nicolla and Associates, PT & OT Services, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 014303-1 | NY | Yes |
Addresses
Primary practice location
711 Troy Schenectady Rd
Suite 216
Latham, NY 12110-2442
Mailing address
711 Troy Schenectady Rd
Suite 209
Latham, NY 12110-2442
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.