Provider Demographics
NPI:1437299260
Name:HOWARD, SONIA SUE (MS)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:SUE
Last Name:HOWARD
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 1:2307 AVENUE L
Mailing Address - Street 2:
Mailing Address - City:GOTHENBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69138-2567
Mailing Address - Country:US
Mailing Address - Phone:308-746-1981
Mailing Address - Fax:308-534-5205
Practice Address - Street 1:811 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850-1930
Practice Address - Country:US
Practice Address - Phone:308-746-1981
Practice Address - Fax:308-537-5205
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE616101YM0800X, 101YM0800X
NE48106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026150500Medicaid
NE10026138100Medicaid