MEDICARE: MS. TONYA CAROL OAKLEY M.A.,L.M.F.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	850	NC

General Provider Information

NPI Number	:	1417007733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TONYA CAROL OAKLEY M.A.,L.M.F.T

Provider Business Mailing Address
First Line	:	709 E ATKINS ST
Second Line	:
City	:	DOBSON
State	:	NC
Zip	:	27017-8706
Country	:	US
Telephone Number	:	336-356-4586
Fax Number	:

Provider Business Practice Location Address
First Line	:	351 RIVERSIDE DR
Second Line	:
City	:	MOUNT AIRY
State	:	NC
Zip	:	27030-3850
Country	:	US
Telephone Number	:	336-786-7079
Fax Number	:	336-786-6312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/08/2007

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