Demetra G Tolley, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22003470A Issued in IN

Practice address

3900E 750S
Ft. Branch, IN 47648

Phone

(812) 205-6341

NPI assigned

Apr 20, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821216599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900E 750S",
            "city": "FT. BRANCH",
            "state": "IN",
            "postal_code": "47648",
            "telephone_number": "812-205-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900E 750S",
            "city": "FT. BRANCH",
            "state": "IN",
            "postal_code": "47648",
            "telephone_number": "812-205-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEY",
        "first_name": "DEMETRA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003470A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Rexing, DDS
• Vinie May Scamman, APRN
• South Gibson Medical Clinic Inc.
• South Gibson School Corp
• Sue A Steinmetz, P.T.
• Tulip Tree Health Services of Gibson County, Inc. (Tulip Tree Family Health Care)
• Terry Hubert Unfried, DDS
• David P Walters, DDS
• William G. Ahlfeld, O.D., L.L.C. (William G. Ahlfeld, O.D.)

• Speech-Language Pathologist in Fort Branch, IN
• Providers in Fort Branch, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.