Provider Demographics
NPI:1972728491
Name:CALANDRA, TOBY SUE (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:TOBY
Middle Name:SUE
Last Name:CALANDRA
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5029 COPLEY RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-4802
Mailing Address - Country:US
Mailing Address - Phone:215-882-2790
Mailing Address - Fax:
Practice Address - Street 1:5029 COPLEY RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-4802
Practice Address - Country:US
Practice Address - Phone:215-882-2790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL006461L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist