Doctor Name: | MRS. SONJA H. CHEATHAM |
NPI Number: | 1003033739 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2337 Clermont Center Dr Batavia, OH - 451031959 |
Business Phone Number: | 5137328800 |
Business Fax Number: | 5137328806 |
Mailing Address: | 6745 Pin Oak Ct, MASON |
State: | OH |
Postal Code: | 450409344 |
Phone Number: | 5133983365 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |