Provider Demographics
NPI:1295968352
Name:SWEENEY, ABIGAIL A (AUD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:A
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:L
Other - Last Name:ASHLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:4003 KRESGE WAY
Mailing Address - Street 2:SUITE 227
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4652
Mailing Address - Country:US
Mailing Address - Phone:502-893-3342
Mailing Address - Fax:502-893-9575
Practice Address - Street 1:4003 KRESGE WAY
Practice Address - Street 2:SUITE 227
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4652
Practice Address - Country:US
Practice Address - Phone:502-893-3342
Practice Address - Fax:502-893-9575
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0511231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist