Abby Virginia Adams, M.ED., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Vidalia, GA
NPI 1730655374 · NPPES record last updated Oct 22, 2018
Key facts
- NPI
- 1730655374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP010097 (GA)
- Practice address
- 101 Harris Insustrial Blvd
Vidalia, GA 30474 - Phone
- (912) 277-2053
- NPI assigned
- Oct 22, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Education
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP010097 | GA | Yes |
Addresses
Primary practice location
101 Harris Insustrial Blvd
Vidalia, GA 30474
Mailing address
623 Rimando Cir
Vidalia, GA 30474-4950
Other providers in Vidalia, GA
- Accordia Healthcare LLC
- Brick Acosta
- Ashley Hill Adams
- Affinis Hospice, LLC
- Air Evac EMS, Inc.
- Regina Lynn Akins
- Jeanie L Allen
All providers in Vidalia, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2018. 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.