Provider Demographics
NPI:1841076627
Name:SEWELL-BIGGS, SONIA SANDRA (MSC ED, PD MS ED)
Entity type:Individual
Prefix:MISS
First Name:SONIA
Middle Name:SANDRA
Last Name:SEWELL-BIGGS
Suffix:
Gender:F
Credentials:MSC ED, PD MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4558 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2028
Mailing Address - Country:US
Mailing Address - Phone:347-785-0697
Mailing Address - Fax:
Practice Address - Street 1:4558 KINGS HWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2028
Practice Address - Country:US
Practice Address - Phone:347-785-0697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY175F00000X
NY61681103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No175F00000XOther Service ProvidersNaturopathGroup - Single Specialty