Provider Demographics
NPI:1710412218
Name:HARRIS, TONYA (MS, MPA)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MS, MPA
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 2711
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-0711
Mailing Address - Country:US
Mailing Address - Phone:302-293-9798
Mailing Address - Fax:
Practice Address - Street 1:218 W 20TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-4022
Practice Address - Country:US
Practice Address - Phone:302-293-9798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-22
Last Update Date:2017-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor