Provider Demographics
NPI:1184124786
Name:VANNOY, TONI J (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TONI
Middle Name:J
Last Name:VANNOY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 REMINGTON PARK DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:76082-1129
Mailing Address - Country:US
Mailing Address - Phone:817-253-5806
Mailing Address - Fax:
Practice Address - Street 1:1600 AIRPORT FWY STE 372
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6873
Practice Address - Country:US
Practice Address - Phone:817-595-2955
Practice Address - Fax:817-595-6764
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100851235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist