Provider Demographics
NPI:1710292875
Name:SONIS, ROXANA
Entity Type:Individual
Prefix:MS
First Name:ROXANA
Middle Name:
Last Name:SONIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 N 46TH AVE APT D233
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2975
Mailing Address - Country:US
Mailing Address - Phone:954-296-6225
Mailing Address - Fax:
Practice Address - Street 1:2806 N 46TH AVE APT D233
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-2975
Practice Address - Country:US
Practice Address - Phone:954-296-6225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional