Provider Demographics
NPI:1629363031
Name:GONTE, SONIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:
Last Name:GONTE
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 1:30150 TELEGRAPH RD.
Mailing Address - Street 2:STE 255
Mailing Address - City:RINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025
Mailing Address - Country:US
Mailing Address - Phone:248-203-9107
Mailing Address - Fax:248-203-7117
Practice Address - Street 1:30150 TELEGRAPH RD.
Practice Address - Street 2:STE 255
Practice Address - City:RINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025
Practice Address - Country:US
Practice Address - Phone:248-203-9107
Practice Address - Fax:248-203-7117
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007721103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist