Provider Demographics
NPI:1275685323
Name:FREIBAND, SONYA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SONYA
Middle Name:
Last Name:FREIBAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3304
Mailing Address - Country:US
Mailing Address - Phone:734-761-4886
Mailing Address - Fax:734-761-4886
Practice Address - Street 1:400 N 1ST ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3304
Practice Address - Country:US
Practice Address - Phone:734-761-4886
Practice Address - Fax:734-761-4886
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301006796103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist