Provider Demographics
NPI:1538591664
Name:TONELLI, LINDSAY MELEA
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MELEA
Last Name:TONELLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-4144
Mailing Address - Country:US
Mailing Address - Phone:918-512-6072
Mailing Address - Fax:
Practice Address - Street 1:115 W MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-4144
Practice Address - Country:US
Practice Address - Phone:918-512-6072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst