Provider Demographics
NPI:1164628905
Name:SEEBER, SONJA MARIE (ASW)
Entity Type:Individual
Prefix:MS
First Name:SONJA
Middle Name:MARIE
Last Name:SEEBER
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 REBEL ROAD
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551
Mailing Address - Country:US
Mailing Address - Phone:661-947-0887
Mailing Address - Fax:
Practice Address - Street 1:44738 SIERRA HWY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3225
Practice Address - Country:US
Practice Address - Phone:661-942-5749
Practice Address - Fax:661-940-3795
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL40441041C0700X
CAASW 253831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical