Provider Demographics
NPI:1336547033
Name:ADAMSON, SONYA (BA)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:ADAMSON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-1811
Mailing Address - Country:US
Mailing Address - Phone:970-874-8981
Mailing Address - Fax:970-874-4169
Practice Address - Street 1:107 W 11TH ST
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-1811
Practice Address - Country:US
Practice Address - Phone:970-874-8981
Practice Address - Fax:970-874-4169
Is Sole Proprietor?:No
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health