Provider Demographics
NPI:1649399429
Name:BRITT, SONYA LYNN (MS)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:LYNN
Last Name:BRITT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:LYNN
Other - Last Name:DEPENBUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1301 80TH ST APT B
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2581
Mailing Address - Country:US
Mailing Address - Phone:785-313-0552
Mailing Address - Fax:
Practice Address - Street 1:1301 80TH ST APT B
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2581
Practice Address - Country:US
Practice Address - Phone:785-313-0552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMFT 745106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist