Provider Demographics
NPI:1609885144
Name:DUNIGAN-KINER, TONGULA P (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TONGULA
Middle Name:P
Last Name:DUNIGAN-KINER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3607 HIDDEN HOLLOW DRIVE
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:76065-8520
Mailing Address - Country:US
Mailing Address - Phone:214-280-4857
Mailing Address - Fax:469-672-6245
Practice Address - Street 1:2363 HIGHWAY 287 N STE 207
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7587
Practice Address - Country:US
Practice Address - Phone:214-280-4857
Practice Address - Fax:469-672-6245
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX17240235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX005-343-102Medicaid
TX528487OtherBLUE CROSS BLUE SHIELD
TX10018743OtherAMERIGROUP
TX20-2507714OtherHUMANA