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NPI Code Detail

MEDICARE: TONYA HENDLEY CCC-SLP

MEDICARE:   TONYA  HENDLEY  CCC-SLP
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
1235Z00000XSpeech-Language Pathologist115798TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1115798OTHERTXTDLR

General Provider Information

NPI Number : 1861113284
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA HENDLEY CCC-SLP
Provider Business Mailing Address
First Line : 13002 WOLLER CRK
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-3715
Country : US
Telephone Number : 512-680-2980
Fax Number :
Provider Business Practice Location Address
First Line : 6870 HEUERMANN RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78256-9605
Country : US
Telephone Number : 210-610-9097
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2022
Last Update Date : 09/05/2022

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Directions to “ TONYA HENDLEY CCC-SLP” Practice Location

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