Sonya Marie Olsen, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA19092 Issued in FL

Practice address

171 Summer Mesa Ave
Ponte Vedra, FL 32081-6143

Phone

(904) 844-3136

NPI assigned

Feb 14, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ponte Vedra Speech Language and Learning LLC

  • Clinic/Center
  • Ponte Vedra, FL
  • NPI 1770262990

  Speech-Language Pathologist

  Medicare reassignment NPD Authorized official
• Ponte Vedra Speech Language and Learning LLC

  • Speech-Language Pathologist
  • Ponte Vedra, FL
  • NPI 1104501170
  NPD Authorized official
• Ponte Vedra Speech Therapy LLC

  • Speech-Language Pathologist
  • Ponte Vedra, FL
  • NPI 1902629587
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1295291177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SUMMER MESA AVE",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816143",
            "telephone_number": "904-844-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SUMMER MESA AVE",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816143",
            "telephone_number": "904-844-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "SONYA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA19092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela J. Skaff DDS

• Speech-Language Pathologist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.