Provider Demographics
NPI:1013181981
Name:TOON, TAMMY RENEA
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:RENEA
Last Name:TOON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TAMMY
Other - Middle Name:RENEA
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 JUDY DR
Mailing Address - Street 2:
Mailing Address - City:SIKESTON
Mailing Address - State:MO
Mailing Address - Zip Code:63801-9778
Mailing Address - Country:US
Mailing Address - Phone:573-472-4558
Mailing Address - Fax:
Practice Address - Street 1:4 JUDY DR
Practice Address - Street 2:
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801-9778
Practice Address - Country:US
Practice Address - Phone:573-472-4558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health