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
Fax: (602) 323-8048
Website:

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376007823 NPPES
Arizona MEDICAID 481819

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