MEDICARE: ABIGAIL NARTKER MA CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP11584	OH

General Provider Information

NPI Number	:	1912504820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL NARTKER MA CCC-SLP

Provider Business Mailing Address
First Line	:	5395 WINTERS RUN RD
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-8035
Country	:	US
Telephone Number	:	614-704-6551
Fax Number	:

Provider Business Practice Location Address
First Line	:	1652 OLD HENDERSON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3618
Country	:	US
Telephone Number	:	614-704-6551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2020
Last Update Date	:	10/04/2020

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Directions to “ ABIGAIL NARTKER MA CCC-SLP” Practice Location

Language	Start Address	Practice Location

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