Healthcare Provider Details

I. General information

NPI: 1992921613
Provider Name (Legal Business Name): PAUL CRAIG ABNEY PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 11/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3009 ORANGE GROVE SHOPPING CENTER SUITE 11
ST. CROIX VI
00820
US

IV. Provider business mailing address

PO BOX 3229
KINGSHILL VI
00851-3229
US

V. Phone/Fax

Practice location:
  • Phone: 340-513-9689
  • Fax:
Mailing address:
  • Phone: 340-692-4142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number17039
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: