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Individual

DR. SONJA TERRY VAN LAAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1504 KINGS HWY UNIT 300, PORT CHARLOTTE, FL 33980-5240
(800) 457-4573
(800) 443-6422
Mailing address
15544 W COLONIAL DR, WINTER GARDEN, FL 34787-9556
(800) 457-4573
(800) 443-6422

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
18404
CA
103T00000X
Psychologist
Primary
PY11919
FL

Other

Enumeration date
12/11/2006
Last updated
10/27/2025
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