Provider Demographics
NPI:1356690846
Name:TOLIN, STEPHANIE JAMES (MS)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:JAMES
Last Name:TOLIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32448
Mailing Address - Country:US
Mailing Address - Phone:850-526-5500
Mailing Address - Fax:
Practice Address - Street 1:2499 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32448
Practice Address - Country:US
Practice Address - Phone:850-526-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health