Individual
MS. NICHOLE LEE SONDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 STATE ST, SUITE 203B, ERIE, PA 16501-1419
(866) 492-7597
Mailing address
900 STATE ST, SUITE 203B, ERIE, PA 16501-1419
(866) 492-7597
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
46866
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100211350
—
KY
Enumeration date
04/11/2011
Last updated
08/16/2016
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