Provider Demographics
NPI:1568729648
Name:HINTZE, SONNET (MFT)
Entity Type:Individual
Prefix:
First Name:SONNET
Middle Name:
Last Name:HINTZE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:SONNET
Other - Middle Name:
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7632 N SILVER RANCH RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE MOUNTAIN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-5858
Mailing Address - Country:US
Mailing Address - Phone:018-792-2012
Mailing Address - Fax:
Practice Address - Street 1:3280 W 3500 S STE E
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-2668
Practice Address - Country:US
Practice Address - Phone:801-979-1351
Practice Address - Fax:801-905-1161
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6991351-3503106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist