Doctor Name: | TONYA ASHLEY DEMULDER |
NPI Number: | 1104174937 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 083970 |
Business Practice Address: | 242 Main St Oneonta, NY - 138202527 |
Business Phone Number: | 6074332334 |
Business Fax Number: | 6074331364 |
Mailing Address: | 2646 Swart Hollow Rd, ONEONTA |
State: | NY |
Postal Code: | 138209077 |
Phone Number: | 6072675332 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2012 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 083970 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |