Provider Demographics
NPI:1053610014
Name:ROBY, SONYA (QMHA)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:
Last Name:ROBY
Suffix:
Gender:F
Credentials:QMHA
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AA
Mailing Address - Street 1:5994 CEDAR LAKE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-1871
Mailing Address - Country:US
Mailing Address - Phone:702-517-9103
Mailing Address - Fax:702-531-6164
Practice Address - Street 1:2820 W CHARLESTON BLVD
Practice Address - Street 2:SUITE C23
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1942
Practice Address - Country:US
Practice Address - Phone:702-437-4673
Practice Address - Fax:702-438-4673
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner