Healthcare Provider Details

I. General information

NPI: 1740968551
Provider Name (Legal Business Name): ABIGAIL HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1353 E MAIN ST
BROWNSBURG IN
46112-1433
US

IV. Provider business mailing address

4516 W KENN DR
MUNCIE IN
47302-8959
US

V. Phone/Fax

Practice location:
  • Phone: 317-520-4748
  • Fax:
Mailing address:
  • Phone: 765-749-7332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: