Provider Demographics
NPI:1659173326
Name:SONNIER, SAMANTHA (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:SONNIER
Suffix:
Gender:
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 W NORTH LOOP BLVD APT 814
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-2030
Mailing Address - Country:US
Mailing Address - Phone:832-928-0123
Mailing Address - Fax:
Practice Address - Street 1:1510 W NORTH LOOP BLVD APT 814
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-2030
Practice Address - Country:US
Practice Address - Phone:832-928-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120302235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist