Twylla R.W. Abrahamson, PH.D.
Individual provider Active NPI Psychologist · Auburn, CA
NPI 1700815875 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700815875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY 16342 (CA)
- Practice address
- 11716 Enterprise Dr
Auburn, CA 95603-3732 - Phone
- (530) 886-5440
- NPI assigned
- Jul 1, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 16342 | CA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 16342 | CA | Yes |
Addresses
Primary practice location
11716 Enterprise Dr
Auburn, CA 95603-3732
Mailing address
11716 Enterprise Dr
Auburn, CA 95603-3732
Phone (530) 886-5440
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.