Provider Demographics
NPI:1033437124
Name:VERLINDE, SONJA MARY (MS)
Entity Type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:MARY
Last Name:VERLINDE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SW D AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73501-4607
Mailing Address - Country:US
Mailing Address - Phone:580-248-3065
Mailing Address - Fax:580-248-3370
Practice Address - Street 1:5 SW D AVE STE B
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-4607
Practice Address - Country:US
Practice Address - Phone:580-248-3065
Practice Address - Fax:580-248-3370
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health