Willis, Sonya Grace
Willis, Sonya Grace is an sole proprietor health care provider with primary practice located at 140 N Litchfield Rd Ste 200 , Goodyear AZ 85338-1226. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Willis, Sonya Grace can be contacted via phone (602) 323-3344.Contact Information
Primary practice address
140 N Litchfield Rd Ste 200
Goodyear AZ 85338-1226
Phone: (602) 323-3344
Fax: (602) 323-8048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 5012 | Arizona |
Profile Details
| NPI number | 1376007823 |
|---|---|
| LBN Legal business name | Willis, Sonya Grace |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2019 |
| Last updated | Sep 12th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376007823 | NPPES |
| Arizona | MEDICAID | 481819 |
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