Healthcare Provider Details

I. General information

NPI: 1538082573
Provider Name (Legal Business Name): ABIGAIL LEGAULT MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABIGAIL CAPPA MS

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 SHADY WILLOW LN
BRENTWOOD CA
94513-5309
US

IV. Provider business mailing address

913 OAKBROOK LN
WALNUT CREEK CA
94597-2464
US

V. Phone/Fax

Practice location:
  • Phone: 925-513-6410
  • Fax:
Mailing address:
  • Phone: 925-381-7055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number230131273
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: