Provider Demographics
NPI:1356128987
Name:BURTON, SONYA L
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:L
Last Name:BURTON
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 1:440 S RACCOON RD APT 2
Mailing Address - Street 2:
Mailing Address - City:AUSTINTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-3600
Mailing Address - Country:US
Mailing Address - Phone:216-512-3154
Mailing Address - Fax:
Practice Address - Street 1:104 JAVIT COURT
Practice Address - Street 2:YOUNGSTOWN
Practice Address - City:OHIO
Practice Address - State:OH
Practice Address - Zip Code:44515
Practice Address - Country:US
Practice Address - Phone:330-797-4050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator