1528491347 NPI number — SONJA ASSOULINE BURKE PSY.D.

Table of content: SONJA ASSOULINE BURKE PSY.D. (NPI 1528491347)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528491347 NPI number — SONJA ASSOULINE BURKE PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BURKE
Provider First Name:
SONJA
Provider Middle Name:
ASSOULINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PSY.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528491347
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/23/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9183 W FLAMINGO RD
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89147-6463
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-650-6508
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9183 W FLAMINGO RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89147-6463
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-650-6508
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/15/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)