| Doctor Name: | DR. SONJA LOUISE RACITI |
| NPI Number: | 1194966093 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | |
| Business Practice Address: | 7219 N. Litchfield Rd, Bldg 1130 Behavioral Health Luke Afb, AZ - 85309 |
| Business Phone Number: | 6238567578 |
| Business Fax Number: | |
| Mailing Address: | 3192 N Park St, BUCKEYE |
| State: | AZ |
| Postal Code: | 853968386 |
| Phone Number: | 2103556207 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2009 |
| NPI Last Update Date: | 08/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |