Healthcare Provider Details

I. General information

NPI: 1538077755
Provider Name (Legal Business Name): ABIGAIL PATTERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5919 OLEANDER DR STE 119
WILMINGTON NC
28403-4757
US

IV. Provider business mailing address

527 OLD MACCUMBER STATION RD APT 307
WILMINGTON NC
28405-8529
US

V. Phone/Fax

Practice location:
  • Phone: 910-395-2995
  • Fax:
Mailing address:
  • Phone: 910-395-2995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30005631
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: