Provider Demographics
NPI:1780007609
Name:FERRAND, SONJA (M S, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:FERRAND
Suffix:
Gender:F
Credentials:M S, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 BULL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:DAWSON SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:42408-9190
Mailing Address - Country:US
Mailing Address - Phone:502-565-8633
Mailing Address - Fax:
Practice Address - Street 1:225 BULL CREEK RD
Practice Address - Street 2:
Practice Address - City:DAWSON SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:42408-9190
Practice Address - Country:US
Practice Address - Phone:502-565-8633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4009235Z00000X
FLSA11211235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist