Individual
DR. MARK ANTHONY TOENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
0873
KY
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001623
ANTHEM
KY
01
—
00005490061
AETNA
KY
01
—
10654346857
HUMANA
KY
Enumeration date
05/01/2007
Last updated
09/11/2025
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