Healthcare Provider Details

I. General information

NPI: 1326766544
Provider Name (Legal Business Name): TONYIA CHRISTEENA ANNE MARTIN MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TONYIA DOYLE

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 KINGS COUNTY DR STE 104
HANFORD CA
93230-5954
US

IV. Provider business mailing address

671 VISTA CT
LEMOORE CA
93245-4923
US

V. Phone/Fax

Practice location:
  • Phone: 559-754-3128
  • Fax: 559-537-7519
Mailing address:
  • Phone: 559-362-7228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number140472
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: