Provider Demographics
NPI:1477162220
Name:LOSCH, SONJA
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:LOSCH
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 1:7025 E VIA SOLERI DR UNIT 2048
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-1414
Mailing Address - Country:US
Mailing Address - Phone:317-615-9565
Mailing Address - Fax:
Practice Address - Street 1:2325 E ADOBE ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-6713
Practice Address - Country:US
Practice Address - Phone:480-472-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist