Healthcare Provider Details

I. General information

NPI: 1245051929
Provider Name (Legal Business Name): ABIGAIL LEFLER M.S.ED., ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18025 RIVER RD
NOBLESVILLE IN
46062-8300
US

IV. Provider business mailing address

232 JJ WAY APT G
NOBLESVILLE IN
46060-1470
US

V. Phone/Fax

Practice location:
  • Phone: 317-773-2134
  • Fax:
Mailing address:
  • Phone: 765-437-3885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number16636643
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: