Individual provider Active NPI

Barbara Lohman Dabul, PHD

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1104982156
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP4835 Issued in AZ
Practice address
6601 N 27TH Avenue
Gompers Center Inc
Phoenix, AZ 85017
Phone
(602) 336-0061
Fax
(602) 336-0249
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP4835 AZ Primary
Speech-Language Pathologist 235Z00000X SLP774 CA

Addresses

Primary practice location

6601 N 27TH Avenue
Gompers Center Inc
Phoenix, AZ 85017

Mailing address

10348 W Burnett Road
Peoria, AZ 85382
Phone (623) 825-0252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SLP774CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gomper'S Center, Inc. Past Accepting new patients
Healthy Brain Aging, LLC PastSince Sep 1, 2019 Accepting new patients
Gompers Habilitation Center Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104982156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10348 W BURNETT ROAD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-825-0252",
            "fax_number": "623-825-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N 27TH AVENUE",
            "address_2": "GOMPERS CENTER INC",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85017",
            "telephone_number": "602-336-0061",
            "fax_number": "602-336-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABUL",
        "first_name": "BARBARA",
        "middle_name": "LOHMAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4835",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SLP774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.