Provider Demographics
NPI:1134527401
Name:TOBEY, JOHN PAUL (LPC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PAUL
Last Name:TOBEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 SHOOK RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HAWLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18428-7059
Mailing Address - Country:US
Mailing Address - Phone:570-351-2289
Mailing Address - Fax:
Practice Address - Street 1:106 SHOOK RD
Practice Address - Street 2:SUITE 205
Practice Address - City:HAWLEY
Practice Address - State:PA
Practice Address - Zip Code:18428-7059
Practice Address - Country:US
Practice Address - Phone:570-351-2289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007422101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional