Provider Demographics
NPI:1730502535
Name:SONYA SLEEM THERAPY SERVICES LLC
Entity type:Organization
Organization Name:SONYA SLEEM THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MA-CCC/SLP
Authorized Official - Phone:813-403-7009
Mailing Address - Street 1:1716 OPEN FIELD LOOP
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-2094
Mailing Address - Country:US
Mailing Address - Phone:813-403-7009
Mailing Address - Fax:
Practice Address - Street 1:1716 OPEN FIELD LOOP
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-2094
Practice Address - Country:US
Practice Address - Phone:813-403-7009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5816235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty