| Doctor Name: | BARBARA TABALA |
| NPI Number: | 1033567029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CASAC-G |
| License Number: | 2353 |
| Business Practice Address: | 100 Route 59 Suite 117 Airmont, NY - 109014927 |
| Business Phone Number: | 8453699701 |
| Business Fax Number: | 8453699704 |
| Mailing Address: | 101 Gedney St, Apt 6g NYACK |
| State: | NY |
| Postal Code: | 109602237 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2016 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2353 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |