Provider Demographics
NPI:1952453805
Name:SOKOL, MARY LOUISA (MA)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:LOUISA
Last Name:SOKOL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20802 N GRAYHAWK DR
Mailing Address - Street 2:#1086
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6401
Mailing Address - Country:US
Mailing Address - Phone:480-515-3848
Mailing Address - Fax:480-484-1801
Practice Address - Street 1:8451 E OAK ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-2963
Practice Address - Country:US
Practice Address - Phone:480-484-1805
Practice Address - Fax:480-484-1801
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ103TW0100X103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool