Doctor Name: | PENNY IRENE TOMAN |
NPI Number: | 1063896652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW, CCM |
License Number: | I.1500799 |
Business Practice Address: | 25 N Canfield Niles Rd Ste 30 Austintown, OH - 445152308 |
Business Phone Number: | 3307978800 |
Business Fax Number: | |
Mailing Address: | 24 E Howard St, GIRARD |
State: | OH |
Postal Code: | 444202921 |
Phone Number: | 3217950738 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2015 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I.1500799 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |