Provider Demographics
NPI:1376684472
Name:HOWARD, SONYA KAYE (MA,CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:KAYE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MA,CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:ROARK
Mailing Address - State:KY
Mailing Address - Zip Code:40979-0032
Mailing Address - Country:US
Mailing Address - Phone:606-374-3604
Mailing Address - Fax:606-374-5178
Practice Address - Street 1:91 WILDCAT ROAD
Practice Address - Street 2:
Practice Address - City:ROARK
Practice Address - State:KY
Practice Address - Zip Code:40979
Practice Address - Country:US
Practice Address - Phone:606-374-3604
Practice Address - Fax:606-374-5178
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-2190235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist