Provider Demographics
NPI:1043510142
Name:DACHEPALLI, SONIA G (MS-CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:G
Last Name:DACHEPALLI
Suffix:
Gender:F
Credentials:MS-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 ROCK SPRING RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-4382
Mailing Address - Country:US
Mailing Address - Phone:630-696-2872
Mailing Address - Fax:
Practice Address - Street 1:811 ROCK SPRING RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-4382
Practice Address - Country:US
Practice Address - Phone:630-696-2872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146008409235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist