Provider Demographics
NPI:1225172778
Name:PRAY, TONYA DAWN (LMFT)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:DAWN
Last Name:PRAY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 PEBBLE BEACH DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-4121
Mailing Address - Country:US
Mailing Address - Phone:805-451-3634
Mailing Address - Fax:
Practice Address - Street 1:133 PEBBLE BEACH DR
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-4121
Practice Address - Country:US
Practice Address - Phone:805-451-3634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC 46321OtherCA. BOARD OF BEHAVIORAL SCIENCES