Provider Demographics
NPI:1134609753
Name:WARNER-MCINTYRE, TONI LYNN (PHD; LCSW)
Entity type:Individual
Prefix:DR
First Name:TONI
Middle Name:LYNN
Last Name:WARNER-MCINTYRE
Suffix:
Gender:F
Credentials:PHD; LCSW
Other - Prefix:DR
Other - First Name:TONI
Other - Middle Name:LYN
Other - Last Name:WARNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DR WARNER-MCINTYRE
Mailing Address - Street 1:323 CROOKED BILLET RD
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-3917
Mailing Address - Country:US
Mailing Address - Phone:267-210-0422
Mailing Address - Fax:
Practice Address - Street 1:607 EASTON RD STE B2
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-2536
Practice Address - Country:US
Practice Address - Phone:215-437-3414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2021-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0192511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical