| Doctor Name: | DR. MARK ANTHONY TOENNIS |
| NPI Number: | 1457572323 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | |
| Business Practice Address: | 4150 Alexandria Pike Suite 102 Cold Spring, KY - 410763501 |
| Business Phone Number: | 8594427700 |
| Business Fax Number: | |
| Mailing Address: | 43 Avenel Pl, FORT THOMAS |
| State: | KY |
| Postal Code: | 410751800 |
| Phone Number: | 8594412236 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |