Provider Demographics
NPI:1801846050
Name:SONNENBERG, CYNTHIA ANN (AUD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:SONNENBERG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 STATE ROUTE 224
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:OH
Mailing Address - Zip Code:45875-9229
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1411 SCOTT ST
Practice Address - Street 2:SUITE B
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-1025
Practice Address - Country:US
Practice Address - Phone:419-592-0338
Practice Address - Fax:419-592-0255
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-01161231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist