Healthcare Provider Details

I. General information

NPI: 1972168672
Provider Name (Legal Business Name): SONYA DUGAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2019
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N NEGLEY AVE OFC 3
PITTSBURGH PA
15206-1560
US

IV. Provider business mailing address

343 E 13TH AVE
HOMESTEAD PA
15120-1714
US

V. Phone/Fax

Practice location:
  • Phone: 412-440-8407
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: SONYA DUGAL
Title or Position: ART THERAPIST AND COUNSELOR
Credential: ATR-BC, LPC
Phone: 843-901-5994