Provider Demographics
NPI:1679952857
Name:TONER, CRYSTAL ANN
Entity Type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:ANN
Last Name:TONER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 ALFADALE ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73090-6617
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8100 ALFADALE ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:OK
Practice Address - Zip Code:73090-6617
Practice Address - Country:US
Practice Address - Phone:405-227-1879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst