| Doctor Name: | DR. ABRIELLE D CONWAY |
| NPI Number: | 1245641547 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 0810004987 |
| Business Practice Address: | 112 Roberts Rd Suite 1 Campbellsville, KY - 427181593 |
| Business Phone Number: | 2702152373 |
| Business Fax Number: | |
| Mailing Address: | 112 Roberts Rd, Suite 1 CAMPBELLSVILLE |
| State: | KY |
| Postal Code: | 427181593 |
| Phone Number: | 2702152373 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2014 |
| NPI Last Update Date: | 01/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810004987 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |