Provider Demographics
NPI:1083849145
Name:SLATER, SONYA NICHOLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SONYA
Middle Name:NICHOLE
Last Name:SLATER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6209 RIVERSIDE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-6028
Mailing Address - Country:US
Mailing Address - Phone:614-310-4940
Mailing Address - Fax:614-310-4941
Practice Address - Street 1:6209 RIVERSIDE DR STE 200
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-6028
Practice Address - Country:US
Practice Address - Phone:614-310-4940
Practice Address - Fax:614-310-4941
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6353103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist