Provider Demographics
NPI:1104209519
Name:AUBOL, MEHJABEEN
Entity type:Individual
Prefix:
First Name:MEHJABEEN
Middle Name:
Last Name:AUBOL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEHJABEEN
Other - Middle Name:
Other - Last Name:KHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:132 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1828
Mailing Address - Country:US
Mailing Address - Phone:360-305-6823
Mailing Address - Fax:
Practice Address - Street 1:132 MAPLE ST
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1828
Practice Address - Country:US
Practice Address - Phone:360-305-6823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health