Provider Demographics
NPI:1689705683
Name:TONEY, HOPE M (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:M
Last Name:TONEY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17757 WATTS RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:LA
Mailing Address - Zip Code:70754-4509
Mailing Address - Country:US
Mailing Address - Phone:225-698-6337
Mailing Address - Fax:225-698-9340
Practice Address - Street 1:17757 WATTS RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:LA
Practice Address - Zip Code:70754-4509
Practice Address - Country:US
Practice Address - Phone:225-698-6337
Practice Address - Fax:225-698-9340
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4026235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1308897Medicaid