Individual
DR. SONIA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
35 W HURON ST, SUITE 500, PONTIAC, MI 48342-2120
(248) 858-7800
(248) 874-4830
Mailing address
35 W HURON ST, SUITE 500, PONTIAC, MI 48342-2120
(248) 858-7800
(248) 874-4830
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301006874
FULL LICENSE
MI
Enumeration date
02/07/2008
Last updated
02/07/2008
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