Provider Demographics
NPI:1710027149
Name:LOUGHLIN, ABBY (MS)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:
Last Name:LOUGHLIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-5809
Mailing Address - Country:US
Mailing Address - Phone:631-404-5847
Mailing Address - Fax:
Practice Address - Street 1:71 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-5809
Practice Address - Country:US
Practice Address - Phone:631-404-5847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0095761235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist