MEDICARE: TONI L RAY

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1073866034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONI L RAY

Provider Business Mailing Address
First Line	:	622 FREDERICK ST
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-1781
Country	:	US
Telephone Number	:	610-587-8720
Fax Number	:

Provider Business Practice Location Address
First Line	:	622 FREDERICK ST
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-1781
Country	:	US
Telephone Number	:	610-587-8720
Fax Number	:

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

Provider Enumeration Date	:	10/16/2012
Last Update Date	:	10/16/2012

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Directions to “ TONI L RAY ” Practice Location

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