Provider Demographics
NPI:1548038763
Name:RICHMOND, ABIGAIL JEAN (AUD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:JEAN
Last Name:RICHMOND
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13450 MOHAWK TRL
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4948
Mailing Address - Country:US
Mailing Address - Phone:440-554-8296
Mailing Address - Fax:
Practice Address - Street 1:3909 ORANGE PL STE 4200
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4480
Practice Address - Country:US
Practice Address - Phone:216-896-1890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.02445231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist