Doctor Name: | JOHN D TONKOVICH |
NPI Number: | 1225394851 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D., CCC-SLP/A |
License Number: | ASHA 00393298 |
Business Practice Address: | 46191 Winston Dr Shelby Twp, MI - 483155615 |
Business Phone Number: | 5868830734 |
Business Fax Number: | |
Mailing Address: | 46191 Winston Dr, SHELBY TWP |
State: | MI |
Postal Code: | 483155615 |
Phone Number: | 5868830734 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2012 |
NPI Last Update Date: | 04/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | ASHA 00393298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |