Provider Demographics
NPI:1629414800
Name:HERRON, TONYA RASHAWNN (MSW)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:RASHAWNN
Last Name:HERRON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25535 GREENFIELD RD
Mailing Address - Street 2:APT. 201
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2146
Mailing Address - Country:US
Mailing Address - Phone:248-469-9397
Mailing Address - Fax:
Practice Address - Street 1:25535 GREENFIELD RD
Practice Address - Street 2:APT. 201
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2146
Practice Address - Country:US
Practice Address - Phone:248-469-9397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker