Provider Demographics
NPI:1366455800
Name:TONINI, ROSS (AUD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:
Last Name:TONINI
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5335 WHITMORE ST
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-4136
Mailing Address - Country:US
Mailing Address - Phone:832-372-5641
Mailing Address - Fax:
Practice Address - Street 1:3275 W ALABAMA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1701
Practice Address - Country:US
Practice Address - Phone:713-942-8205
Practice Address - Fax:713-942-8202
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51328231H00000X
TX16702235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist