MEDICARE: ABIGAIL BETTS

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1760310338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL BETTS

Provider Business Mailing Address
First Line	:	717 PLAINVIEW AVE
Second Line	:
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-1626
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	602 ORCHARD AVE
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-4000
Country	:	US
Telephone Number	:	805-474-3000
Fax Number	:

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

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ ABIGAIL BETTS ” Practice Location

Language	Start Address	Practice Location

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