Provider Demographics
NPI:1306185434
Name:CHOWDHURY, SONIA RITA
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:RITA
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 PINE PORTAGE LOOP
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-7962
Mailing Address - Country:US
Mailing Address - Phone:917-224-8450
Mailing Address - Fax:
Practice Address - Street 1:1228 PINE PORTAGE LOOP
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-7962
Practice Address - Country:US
Practice Address - Phone:917-224-8450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117824235Z00000X
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist