Provider Demographics
NPI:1003033739
Name:CHEATHAM, SONJA H
Entity type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:H
Last Name:CHEATHAM
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 1:6745 PIN OAK CT
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9344
Mailing Address - Country:US
Mailing Address - Phone:513-398-3365
Mailing Address - Fax:
Practice Address - Street 1:2337 CLERMONT CENTER DR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-1959
Practice Address - Country:US
Practice Address - Phone:513-732-8800
Practice Address - Fax:513-732-8806
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health