Provider Demographics
NPI:1699435560
Name:RODRIGUEZ, SONYA NANCE (PHD, LMFT-S)
Entity type:Individual
Prefix:DR
First Name:SONYA
Middle Name:NANCE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PHD, LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SONYA RODRIGUEZ
Mailing Address - Street 2:3824 CEDAR SPRINGS RD # 801-8248
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4136
Mailing Address - Country:US
Mailing Address - Phone:970-309-3201
Mailing Address - Fax:
Practice Address - Street 1:SONYA RODRIGUEZ
Practice Address - Street 2:3824 CEDAR SPRINGS RD # 801-8248
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4136
Practice Address - Country:US
Practice Address - Phone:970-309-3201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT118621533902106H00000X
COMFT.0001893106H00000X
FLMT4187106H00000X
TX203197106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist