Provider Demographics
NPI:1114737350
Name:TONSING, ANNE-MARIE (LEP)
Entity type:Individual
Prefix:
First Name:ANNE-MARIE
Middle Name:
Last Name:TONSING
Suffix:
Gender:F
Credentials:LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 HAZELWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1118
Mailing Address - Country:US
Mailing Address - Phone:614-270-3734
Mailing Address - Fax:
Practice Address - Street 1:1111 ELM ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-1782
Practice Address - Country:US
Practice Address - Phone:614-270-3734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA436555103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool