Individual provider · NPI-1

Myah Noelle Abbott, BSW

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number1275411498
StatusActive
Last updated in NPPESFeb 25, 2026

Details

NPI
1275411498
Entity type
Individual (NPI-1)
Name
Myah Noelle Abbott
Credential
BSW
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2025
Certification date
Feb 25, 2026
Last updated
Feb 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes

Practice location

3767 Central Ave
San Diego, CA 92105-2599

Phone 619-278-0777

Mailing address

2155 Kettner Blvd Unit 221
San Diego, CA 92101-1743

Phone 765-412-9305

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