Provider Demographics
NPI:1598363749
Name:TOY, LAUREL (SUDRC)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:
Last Name:TOY
Suffix:
Gender:F
Credentials:SUDRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3575 PERSHING AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3413
Mailing Address - Country:US
Mailing Address - Phone:619-294-4526
Mailing Address - Fax:619-294-4526
Practice Address - Street 1:3575 PERSHING AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-3413
Practice Address - Country:US
Practice Address - Phone:619-294-4526
Practice Address - Fax:619-294-4526
Is Sole Proprietor?:No
Enumeration Date:2020-10-10
Last Update Date:2020-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)