Provider Demographics
NPI:1447550256
Name:HARE, SONIA LEBRON (CCC-SLP/L)
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:LEBRON
Last Name:HARE
Suffix:
Gender:F
Credentials:CCC-SLP/L
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:VARGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP/L
Mailing Address - Street 1:852 HAMPTON LN
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-8010
Mailing Address - Country:US
Mailing Address - Phone:630-553-8878
Mailing Address - Fax:
Practice Address - Street 1:852 HAMPTON LN
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-8010
Practice Address - Country:US
Practice Address - Phone:630-553-8878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146008795235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist