Mary J Sonntag


Address: 1116 S Walton Blvd, Suite 114, Bentonville, AR 72712-6126

Mary J Sonntag (NPI# 1205056298, PAC ID# 6901088145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.

Physician Overview

Nation Provider ID (NPI) 1205056298
PAC ID by PECOS 6901088145
Professional Enrollment ID I20110311000019
Full Name Mary J Sonntag
Address 1116 S Walton Blvd
Suite 114
Bentonville
AR 72712-6126
Gender F
Graduation Year 1985
Primary Specialty CLINICAL PSYCHOLOGIST
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1116 S Walton Blvd, Suite 114, Bentonville, AR 72712-6126

Organization Information

Office Location

Street Address 1116 S WALTON BLVD
SUITE 114
City BENTONVILLE
State AR
Zip 72712-6126

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Competitor

Search similar physicians

City BENTONVILLE
Zip Code 72712
Specialty CLINICAL PSYCHOLOGIST
City + Specialty BENTONVILLE + CLINICAL PSYCHOLOGIST

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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