Provider Demographics
NPI:1861113284
Name:HENDLEY, TONYA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:HENDLEY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:
Other - Last Name:SOTTILO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:13002 WOLLER CRK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3715
Mailing Address - Country:US
Mailing Address - Phone:512-680-2980
Mailing Address - Fax:
Practice Address - Street 1:6870 HEUERMANN RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-9605
Practice Address - Country:US
Practice Address - Phone:210-610-9097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115798235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115798OtherTDLR