Provider Demographics
NPI:1659585446
Name:DOERFFEL, TOBI ATRELLA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TOBI
Middle Name:ATRELLA
Last Name:DOERFFEL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 830395
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34483-0395
Mailing Address - Country:US
Mailing Address - Phone:352-502-3513
Mailing Address - Fax:
Practice Address - Street 1:2940 SE 45TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-5782
Practice Address - Country:US
Practice Address - Phone:352-502-3513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7411235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS9297OtherBCBS