Provider Demographics
NPI:1144928987
Name:ABERNATHY, AALIYAH ROESHELL
Entity type:Individual
Prefix:
First Name:AALIYAH
Middle Name:ROESHELL
Last Name:ABERNATHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF SOCIAL WORK- BHWTP2 GRADUATE SOCIAL WORK
Mailing Address - Street 2:104 BUCHANAN HALL
Mailing Address - City:NORMAL
Mailing Address - State:AL
Mailing Address - Zip Code:35762-2000
Mailing Address - Country:US
Mailing Address - Phone:256-372-4050
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF SOCIAL WORK- BHWTP2 GRADUATE SOCIAL
Practice Address - Street 2:104 BUCHANAN HALL
Practice Address - City:NORMAL
Practice Address - State:AL
Practice Address - Zip Code:35762-2000
Practice Address - Country:US
Practice Address - Phone:256-372-4050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program