Provider Demographics
NPI:1164838843
Name:TOVA, KATHY LEE (HA7430)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:LEE
Last Name:TOVA
Suffix:
Gender:F
Credentials:HA7430
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 COLORADO AVE
Mailing Address - Street 2:SUITE # 150
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2706
Mailing Address - Country:US
Mailing Address - Phone:209-216-3300
Mailing Address - Fax:209-216-3316
Practice Address - Street 1:1801 COLORADO AVE
Practice Address - Street 2:SUITE # 150
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2706
Practice Address - Country:US
Practice Address - Phone:209-216-3300
Practice Address - Fax:209-216-3316
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA7430237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist