Provider Demographics
NPI:1962168880
Name:POINDEXTER, ABIGAIL CATHERINE (SLP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:CATHERINE
Last Name:POINDEXTER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:CATHERINE
Other - Last Name:MENKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 POWELL AVE
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:MO
Mailing Address - Zip Code:63135-1328
Mailing Address - Country:US
Mailing Address - Phone:314-521-6755
Mailing Address - Fax:
Practice Address - Street 1:401 POWELL AVE
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-1328
Practice Address - Country:US
Practice Address - Phone:314-521-6755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist