Provider Demographics
NPI:1912159757
Name:TONIA L TURNER PHD PA
Entity type:Organization
Organization Name:TONIA L TURNER PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-302-4828
Mailing Address - Street 1:151 NE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-3703
Mailing Address - Country:US
Mailing Address - Phone:561-302-4828
Mailing Address - Fax:561-278-6978
Practice Address - Street 1:151 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-3703
Practice Address - Country:US
Practice Address - Phone:561-302-4828
Practice Address - Fax:561-278-6978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0005374103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59831OtherMEDICARE PTAN