Provider Demographics
NPI:1578350047
Name:REEDY, TONYA MARIA
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:MARIA
Last Name:REEDY
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 1:1131 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-2101
Mailing Address - Country:US
Mailing Address - Phone:610-587-5841
Mailing Address - Fax:610-587-5841
Practice Address - Street 1:1131 N 10TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-2101
Practice Address - Country:US
Practice Address - Phone:610-587-5841
Practice Address - Fax:610-587-5841
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC018445101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health