Provider Demographics
NPI:1043797889
Name:DONZOLA, TONILYNN I (MS,CCC-A)
Entity type:Individual
Prefix:
First Name:TONILYNN
Middle Name:
Last Name:DONZOLA
Suffix:I
Gender:F
Credentials:MS,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 CANNON RANGE AVE
Mailing Address - Street 2:
Mailing Address - City:MILMAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08340-3108
Mailing Address - Country:US
Mailing Address - Phone:856-207-3589
Mailing Address - Fax:
Practice Address - Street 1:715 BAY AVE
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2305
Practice Address - Country:US
Practice Address - Phone:609-463-5888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYA00320231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist