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Individual

DR. KENDALL TONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, HSPP

Contact information

Practice address
655 E MAIN ST, PERU, IN 46970-2662
(765) 472-1931
(765) 472-1945
Mailing address
655 E MAIN ST, PERU, IN 46970-2662
(765) 472-1931
(765) 472-1945

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
20010247A
IN
103TC0700X
Clinical Psychologist
Primary
20010247A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20010247A
LICENSE
IN
Enumeration date
06/19/2006
Last updated
04/10/2008
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