Provider Demographics
NPI:1760710073
Name:NISPEL, SONYA KAY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:KAY
Last Name:NISPEL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:656 SE BAYBERRY LN
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-4301
Mailing Address - Country:US
Mailing Address - Phone:816-524-5572
Mailing Address - Fax:816-298-1450
Practice Address - Street 1:656 SE BAYBERRY LN
Practice Address - Street 2:SUITE 105
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-4301
Practice Address - Country:US
Practice Address - Phone:816-524-5572
Practice Address - Fax:816-298-1450
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008003866101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional