Provider Demographics
NPI:1467686204
Name:CLAY, TOSHA LENAE (BA)
Entity Type:Individual
Prefix:
First Name:TOSHA
Middle Name:LENAE
Last Name:CLAY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15634 E OBERLIN PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-2562
Mailing Address - Country:US
Mailing Address - Phone:719-740-0913
Mailing Address - Fax:
Practice Address - Street 1:15634 E OBERLIN PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-2562
Practice Address - Country:US
Practice Address - Phone:719-740-0913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor