Provider Demographics
NPI:1457879421
Name:WANG, ABIGAIL YICHEN
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:YICHEN
Last Name:WANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 LEE ST MAILBOX 801210
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-4494
Mailing Address - Country:US
Mailing Address - Phone:434-924-5314
Mailing Address - Fax:434-243-4743
Practice Address - Street 1:5725 FORWARD AVE STE 401
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2255
Practice Address - Country:US
Practice Address - Phone:412-214-0042
Practice Address - Fax:412-385-2468
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4901792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry