Provider Demographics
NPI:1679726392
Name:LAMBAJIAN, SONIA (MS/CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:
Last Name:LAMBAJIAN
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2738 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-9500
Mailing Address - Country:US
Mailing Address - Phone:773-770-6500
Mailing Address - Fax:773-292-9381
Practice Address - Street 1:2738 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-9500
Practice Address - Country:US
Practice Address - Phone:773-770-6500
Practice Address - Fax:773-292-9381
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-25
Last Update Date:2008-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009044235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist