Provider Demographics
NPI:1750791968
Name:COLLINS, SONDRA HALEY
Entity type:Individual
Prefix:MS
First Name:SONDRA
Middle Name:HALEY
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SONDRA
Other - Middle Name:HALEY
Other - Last Name:HUDLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2816 NW 64TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-4808
Mailing Address - Country:US
Mailing Address - Phone:405-473-7942
Mailing Address - Fax:
Practice Address - Street 1:2816 NW 64TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-4808
Practice Address - Country:US
Practice Address - Phone:405-473-7942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health