Provider Demographics
NPI:1437534062
Name:MILLET, SONIA (ITDS)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:MILLET
Suffix:
Gender:F
Credentials:ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5232 NW 35TH LANE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34482-4818
Mailing Address - Country:US
Mailing Address - Phone:561-294-4102
Mailing Address - Fax:754-551-6454
Practice Address - Street 1:5232 NW 35TH LANE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34482-4818
Practice Address - Country:US
Practice Address - Phone:561-294-4102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-24
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker