Individual
ABIGAIL HAENSSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834
(252) 744-6104
(252) 744-6148
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12968
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043757693
—
NC
01
—
19XB2
BCBS OF NC
NC
01
—
Q609390322
MEDICARE
NC
Enumeration date
01/20/2017
Last updated
06/02/2021
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