Provider Demographics
NPI:1487827028
Name:ABBS, KRISTIE KAY
Entity type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:KAY
Last Name:ABBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 HILLCREST CIR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-6913
Mailing Address - Country:US
Mailing Address - Phone:724-935-0012
Mailing Address - Fax:
Practice Address - Street 1:814 HILLCREST CIR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-6913
Practice Address - Country:US
Practice Address - Phone:724-935-0012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACWO139921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical