Provider Demographics
NPI:1902228281
Name:VATRAL, DAVID (BA, MA)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:VATRAL
Suffix:
Gender:M
Credentials:BA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16531 SUSQUEHANNA TRL S
Mailing Address - Street 2:
Mailing Address - City:NEW FREEDOM
Mailing Address - State:PA
Mailing Address - Zip Code:17349-8964
Mailing Address - Country:US
Mailing Address - Phone:717-683-8971
Mailing Address - Fax:
Practice Address - Street 1:500 STILLMEADOW LN
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-1350
Practice Address - Country:US
Practice Address - Phone:717-683-8971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101Y00000XBehavioral Health & Social Service ProvidersCounselor