Provider Demographics
NPI:1194097097
Name:TONEY, CHRISTAN DAVIS (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CHRISTAN
Middle Name:DAVIS
Last Name:TONEY
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 1:113 CANNA AVE
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-4338
Mailing Address - Country:US
Mailing Address - Phone:662-324-3285
Mailing Address - Fax:
Practice Address - Street 1:113 CANNA AVE
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-4338
Practice Address - Country:US
Practice Address - Phone:662-324-3285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS2375235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist