MEDICARE: MRS. ABIGAIL CHLOE PABST MT-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	225A00000X	OTHER		MUSIC THERAPIST

General Provider Information

NPI Number	:	1386117992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ABIGAIL CHLOE PABST MT-BC

Provider Business Mailing Address
First Line	:	2405 SW WOODHAVEN LN
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64082-4079
Country	:	US
Telephone Number	:	816-214-2720
Fax Number	:

Provider Business Practice Location Address
First Line	:	2307 N SAWYER AVE APT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-7999
Country	:	US
Telephone Number	:	816-214-2720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2019
Last Update Date	:	01/07/2019

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