Individual
DR. TONEY LEE CHARLES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
301 NORTH WELLINGTON ST., MARSHALL, TX 75670-3230
(903) 938-4476
(902) 938-4125
Mailing address
301 N WELLINGTON ST, PO BOX 8317, MARSHALL, TX 75670-3335
(903) 938-4476
(902) 938-4125
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146705201
—
TX
01
—
86649A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/15/2006
Last updated
11/03/2010
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