MEDICARE: SONYA DUGAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	221700000X	Art Therapist

General Provider Information

NPI Number	:	1972168672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONYA DUGAL LLC

Provider Business Mailing Address
First Line	:	343 E 13TH AVE
Second Line	:
City	:	HOMESTEAD
State	:	PA
Zip	:	15120-1714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 N NEGLEY AVE OFC 3
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-1560
Country	:	US
Telephone Number	:	412-440-8407
Fax Number	:

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

Provider Enumeration Date	:	05/08/2019
Last Update Date	:	05/08/2019

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