Provider Demographics
NPI:1497924781
Name:KHILNANI, SONYA M (PHD)
Entity Type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:M
Last Name:KHILNANI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:SONYA
Other - Middle Name:M
Other - Last Name:ABRAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:19515 SW 78TH PL
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7509
Mailing Address - Country:US
Mailing Address - Phone:305-969-8280
Mailing Address - Fax:
Practice Address - Street 1:3349 N UNIVERSITY DR
Practice Address - Street 2:SUITE 4
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-9000
Practice Address - Country:US
Practice Address - Phone:954-885-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6340103TC0700X, 103TS0200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool