Provider Demographics
NPI:1538051206
Name:PERDUN, TONYA LEEANN (CCSS)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:LEEANN
Last Name:PERDUN
Suffix:
Gender:F
Credentials:CCSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 4TH ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1415
Mailing Address - Country:US
Mailing Address - Phone:505-850-8869
Mailing Address - Fax:
Practice Address - Street 1:1216 4TH ST NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1415
Practice Address - Country:US
Practice Address - Phone:505-850-8869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker