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NPI Code Detail

MEDICARE: MRS. CLARE TONRY L.P.C.

MEDICARE:  MRS. CLARE  TONRY  L.P.C.
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
1101YM0800XMental Health Counselor0701001560VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12116500OTHERVAMAMSI
2236965OTHERVAANTHEM BLUE CROSS

General Provider Information

NPI Number : 1578529509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CLARE TONRY L.P.C.
Provider Business Mailing Address
First Line : 8 LLEWELLYN ST
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23707-1010
Country : US
Telephone Number : 757-397-7838
Fax Number : 757-481-6311
Provider Business Practice Location Address
First Line : 1745 CAMELOT DR
Second Line : SUITE 200
City : VIRGINIA BEACH
State : VA
Zip : 23454-2435
Country : US
Telephone Number : 757-481-6000
Fax Number : 757-481-6311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. CLARE TONRY L.P.C.” Practice Location

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