Provider Demographics
NPI:1063520831
Name:REEDER, SONYA L (LICENSED PROFESSIONA)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:L
Last Name:REEDER
Suffix:
Gender:F
Credentials:LICENSED PROFESSIONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 WEST LOOP 281
Mailing Address - Street 2:STE 302
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-2900
Mailing Address - Country:US
Mailing Address - Phone:903-759-2402
Mailing Address - Fax:903-759-2570
Practice Address - Street 1:911 WEST LOOP 281
Practice Address - Street 2:STE 302
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-2900
Practice Address - Country:US
Practice Address - Phone:903-759-2402
Practice Address - Fax:903-759-2570
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11976101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional