Provider Demographics
NPI:1194827956
Name:LOMBARDI, TONI (PSYD LPC)
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:PSYD LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 SPANISH TRAIL
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262
Mailing Address - Country:US
Mailing Address - Phone:817-431-8664
Mailing Address - Fax:817-506-8848
Practice Address - Street 1:1012 SPANISH TRAIL
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:TX
Practice Address - Zip Code:76262
Practice Address - Country:US
Practice Address - Phone:817-431-8664
Practice Address - Fax:817-506-8848
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17738LPC103T00000X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist