Provider Demographics
NPI:1750670576
Name:CULVER, SONIA JOY (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:JOY
Last Name:CULVER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:JOY
Other - Last Name:STRUEBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1035 PRAIRIE GRASS LN
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-8714
Mailing Address - Country:US
Mailing Address - Phone:319-621-1137
Mailing Address - Fax:
Practice Address - Street 1:2641 10TH STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241
Practice Address - Country:US
Practice Address - Phone:319-358-6323
Practice Address - Fax:319-382-7822
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002093235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist