Provider Demographics
NPI:1144406695
Name:ABBOUD, SABRA N (PSYD)
Entity type:Individual
Prefix:DR
First Name:SABRA
Middle Name:N
Last Name:ABBOUD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8741
Mailing Address - Country:US
Mailing Address - Phone:717-880-3118
Mailing Address - Fax:717-650-1281
Practice Address - Street 1:3601 CONCORD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8741
Practice Address - Country:US
Practice Address - Phone:717-880-3118
Practice Address - Fax:717-650-1281
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017112103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical