Provider Demographics
NPI:1306722079
Name:ELSTON, ABIGAIL ANNE (CF-SLP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ANNE
Last Name:ELSTON
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S WEST ST
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:IL
Mailing Address - Zip Code:62573-9680
Mailing Address - Country:US
Mailing Address - Phone:217-649-5528
Mailing Address - Fax:
Practice Address - Street 1:101 S WEST ST
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:IL
Practice Address - Zip Code:62573-9680
Practice Address - Country:US
Practice Address - Phone:217-649-5528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.008555235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist