Healthcare Provider Details

I. General information

NPI: 1215288758
Provider Name (Legal Business Name): SONDRA S ARMS MS, CF/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2012
Last Update Date: 09/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3309 KY ROUTE 201
SITKA KY
41255-9301
US

IV. Provider business mailing address

3309 KY ROUTE 201
SITKA KY
41255-9301
US

V. Phone/Fax

Practice location:
  • Phone: 606-369-6610
  • Fax:
Mailing address:
  • Phone: 606-369-6610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number12-068
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: