Provider Demographics
NPI:1154363059
Name:BARTLEY, TONYA (MA)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:BARTLEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303S CHURCH ST 2
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-5249
Mailing Address - Country:US
Mailing Address - Phone:828-692-0353
Mailing Address - Fax:828-692-0678
Practice Address - Street 1:7 WALDEN RIDGE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-8590
Practice Address - Country:US
Practice Address - Phone:828-654-9299
Practice Address - Fax:828-654-9266
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4505231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist