Provider Demographics
NPI:1427130665
Name:SHRINER, SONDRA ELAINE (LPC)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:ELAINE
Last Name:SHRINER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7029 FREEMONT ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-7301
Mailing Address - Country:US
Mailing Address - Phone:214-212-7980
Mailing Address - Fax:214-212-7980
Practice Address - Street 1:7029 FREEMONT ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7301
Practice Address - Country:US
Practice Address - Phone:214-212-7980
Practice Address - Fax:214-212-7980
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5971101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional