Individual
DR. MARCIA M. ABBOTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5502 58TH ST, #600, LUBBOCK, TX 79414-2000
(806) 792-3808
(806) 792-1506
Mailing address
5502 58TH ST, #600, LUBBOCK, TX 79414-2000
(806) 792-3808
(806) 792-1506
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-2422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75193591779414
CHAMPUS/TRI-CARE
TX
Enumeration date
07/18/2005
Last updated
07/08/2007
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