Provider Demographics
NPI:1063875854
Name:HOUSTON, SONJA (PSYD)
Entity type:Individual
Prefix:DR
First Name:SONJA
Middle Name:
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3144 G ST STE 125
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-1385
Mailing Address - Country:US
Mailing Address - Phone:209-947-0494
Mailing Address - Fax:
Practice Address - Street 1:535 W 26TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-2825
Practice Address - Country:US
Practice Address - Phone:209-947-0494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service