Provider Demographics
NPI:1558670299
Name:TONEY, ERENA THEODORA (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:ERENA
Middle Name:THEODORA
Last Name:TONEY
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BROOKSIDE DR W
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:NY
Mailing Address - Zip Code:10926-3017
Mailing Address - Country:US
Mailing Address - Phone:845-597-5212
Mailing Address - Fax:845-781-0185
Practice Address - Street 1:1 BROOKSIDE DR W
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:NY
Practice Address - Zip Code:10926-3017
Practice Address - Country:US
Practice Address - Phone:845-597-5212
Practice Address - Fax:845-781-0185
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016171103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist