Provider Demographics
NPI:1326055112
Name:NEAL, BARBARA H (MED)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:H
Last Name:NEAL
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 CARLISLE ST
Mailing Address - Street 2:STE. 124
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-1358
Mailing Address - Country:US
Mailing Address - Phone:214-720-6060
Mailing Address - Fax:214-720-6061
Practice Address - Street 1:3100 CARLISLE ST
Practice Address - Street 2:STE. 124
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-1358
Practice Address - Country:US
Practice Address - Phone:214-720-6060
Practice Address - Fax:214-720-6061
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6056101YA0400X
TX4249101YM0800X
TX003562-041871106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist