Provider Demographics
NPI:1104982156
Name:DABUL, BARBARA LOHMAN (PHD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LOHMAN
Last Name:DABUL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10348 W BURNETT ROAD
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382
Mailing Address - Country:US
Mailing Address - Phone:623-825-0252
Mailing Address - Fax:623-825-0252
Practice Address - Street 1:6601 N 27TH AVENUE
Practice Address - Street 2:GOMPERS CENTER INC
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017
Practice Address - Country:US
Practice Address - Phone:602-336-0061
Practice Address - Fax:602-336-0249
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP4835235Z00000X
CASLP774235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist