Provider Demographics
NPI:1316103773
Name:BOBAL, NEAL K (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:NEAL
Middle Name:K
Last Name:BOBAL
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 MARCHWOOD RD
Mailing Address - Street 2:SUITE 2A-5
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1835
Mailing Address - Country:US
Mailing Address - Phone:610-314-6530
Mailing Address - Fax:
Practice Address - Street 1:409 SUNSET DR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2315
Practice Address - Country:US
Practice Address - Phone:610-314-6530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2015-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006895101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional