Provider Demographics
NPI:1134335284
Name:TONKINS, SUE ANNE MORRISON (PHD)
Entity type:Individual
Prefix:DR
First Name:SUE ANNE
Middle Name:MORRISON
Last Name:TONKINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2960 CHAMPION WAY APT 2108
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-1238
Mailing Address - Country:US
Mailing Address - Phone:714-508-5731
Mailing Address - Fax:714-389-6119
Practice Address - Street 1:1500 E KATELLA AVE STE D
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5090
Practice Address - Country:US
Practice Address - Phone:714-343-1251
Practice Address - Fax:714-389-6119
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA16004103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical