Provider Demographics
NPI:1578650255
Name:MCMURRAY, TONYA KAY (MED, LCMHC)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:KAY
Last Name:MCMURRAY
Suffix:
Gender:F
Credentials:MED, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 US ROUTE 5 S
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:VT
Mailing Address - Zip Code:05055-9431
Mailing Address - Country:US
Mailing Address - Phone:802-649-3268
Mailing Address - Fax:802-649-3270
Practice Address - Street 1:319 US ROUTE 5 S
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:VT
Practice Address - Zip Code:05055-9431
Practice Address - Country:US
Practice Address - Phone:802-649-3268
Practice Address - Fax:802-649-3270
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH622101YM0800X
VT068.0055033101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health