Provider Demographics
NPI:1548750235
Name:BHATIA, SONYA ANNE (PHD)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:ANNE
Last Name:BHATIA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 SOUTH 70TH STREET
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516
Mailing Address - Country:US
Mailing Address - Phone:402-483-1936
Mailing Address - Fax:402-483-7314
Practice Address - Street 1:4501 SOUTH 70TH STREET
Practice Address - Street 2:SUITE 120
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516
Practice Address - Country:US
Practice Address - Phone:402-483-1936
Practice Address - Fax:402-483-7314
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1037103T00000X
NE10733101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor