Provider Demographics
NPI:1073035150
Name:KABALI, JOSEPH (PHD, LMFT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:KABALI
Suffix:
Gender:M
Credentials:PHD, LMFT
Other - Prefix:MR
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:KABALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LMFT
Mailing Address - Street 1:20 VILLANOVA RD
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1936
Mailing Address - Country:US
Mailing Address - Phone:732-257-6100
Mailing Address - Fax:
Practice Address - Street 1:288 RUES LN
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5699
Practice Address - Country:US
Practice Address - Phone:732-257-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
37106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37FI00167300OtherLFMT