Provider Demographics
NPI:1952519167
Name:BAUKAL, TIBOR (LPC)
Entity Type:Individual
Prefix:MR
First Name:TIBOR
Middle Name:
Last Name:BAUKAL
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 1:326 E HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-2532
Mailing Address - Country:US
Mailing Address - Phone:484-273-2912
Mailing Address - Fax:
Practice Address - Street 1:1251 S CEDAR CREST BLVD STE 211D
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6214
Practice Address - Country:US
Practice Address - Phone:610-432-5066
Practice Address - Fax:610-432-0973
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA15233101YA0400X
101YM0800X, 103TF0000X
NJ37AC00530000106H00000X
PAPC012327101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist