Provider Demographics
NPI:1346358611
Name:SONNAMAKER, KATHERINE LYNN (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LYNN
Last Name:SONNAMAKER
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304B GATEWAY LOOP
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-6322
Mailing Address - Country:US
Mailing Address - Phone:830-693-1251
Mailing Address - Fax:830-693-8476
Practice Address - Street 1:304B GATEWAY LOOP
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-6322
Practice Address - Country:US
Practice Address - Phone:830-693-1251
Practice Address - Fax:830-693-8476
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51585231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB129706Medicare PIN
TX1346358611Medicare UPIN