Provider Demographics
NPI:1124651898
Name:KLEIN, SONYA LYNNE (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:LYNNE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:LYNNE
Other - Last Name:TUBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, PMHNP-BC
Mailing Address - Street 1:9306 COBALT WAY
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-9415
Mailing Address - Country:US
Mailing Address - Phone:678-783-9597
Mailing Address - Fax:
Practice Address - Street 1:1577 NORTHEAST PKWY
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30324
Practice Address - Country:US
Practice Address - Phone:404-785-4363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN257442363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health