Provider Demographics
NPI:1740173897
Name:SHOWALTER, ABBY
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:SHOWALTER
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 1:1580 W FRONTIER PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-3195
Mailing Address - Country:US
Mailing Address - Phone:469-297-6340
Mailing Address - Fax:844-364-6315
Practice Address - Street 1:1580 W FRONTIER PKWY STE 110
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-3195
Practice Address - Country:US
Practice Address - Phone:469-297-6340
Practice Address - Fax:844-364-6315
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122453235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist