Provider Demographics
NPI:1861820417
Name:WHREN, TONIA K (CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:TONIA
Middle Name:K
Last Name:WHREN
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 1:78 DEER RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT MATTHEWS
Mailing Address - State:SC
Mailing Address - Zip Code:29135-8185
Mailing Address - Country:US
Mailing Address - Phone:803-614-0939
Mailing Address - Fax:
Practice Address - Street 1:78 DEER RIDGE CT
Practice Address - Street 2:
Practice Address - City:SAINT MATTHEWS
Practice Address - State:SC
Practice Address - Zip Code:29135-8185
Practice Address - Country:US
Practice Address - Phone:803-614-0939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-17
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2432235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist