Provider Demographics
NPI:1124229828
Name:TONREY, DONNA A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:A
Last Name:TONREY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 MALLARD DRIVE EAST
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1196
Mailing Address - Country:US
Mailing Address - Phone:215-997-0188
Mailing Address - Fax:215-997-8681
Practice Address - Street 1:239 MALLARD DR E
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-1196
Practice Address - Country:US
Practice Address - Phone:215-997-0188
Practice Address - Fax:215-997-8681
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015549103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist