Provider Demographics
NPI:1619638020
Name:MCFALL, SONOVIA LATOYA (MS)
Entity Type:Individual
Prefix:
First Name:SONOVIA
Middle Name:LATOYA
Last Name:MCFALL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9455 EASTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-7867
Mailing Address - Country:US
Mailing Address - Phone:269-213-0406
Mailing Address - Fax:
Practice Address - Street 1:4401 FREE PIKE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45416-1219
Practice Address - Country:US
Practice Address - Phone:937-542-4238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist