Provider Demographics
NPI:1265642060
Name:HARMON, TONYA P (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:P
Last Name:HARMON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 WHITE PINE CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-0806
Mailing Address - Country:US
Mailing Address - Phone:803-416-8004
Mailing Address - Fax:
Practice Address - Street 1:1767 BENTGRASS LN
Practice Address - Street 2:
Practice Address - City:TEGA CAY
Practice Address - State:SC
Practice Address - Zip Code:29708-8537
Practice Address - Country:US
Practice Address - Phone:803-389-4974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3912235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist