Provider Demographics
NPI:1205956000
Name:TOYNTON, GINA M
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:M
Last Name:TOYNTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 W MARKET ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-5098
Mailing Address - Country:US
Mailing Address - Phone:262-241-6127
Mailing Address - Fax:262-241-6132
Practice Address - Street 1:1500 W MARKET ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-5098
Practice Address - Country:US
Practice Address - Phone:262-241-6127
Practice Address - Fax:262-241-6132
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3654-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43591800Medicaid