Provider Demographics
NPI:1952703704
Name:SCHWALEN, SONIA (PHD)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:SCHWALEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 ELDORADO PKWY STE 100-413
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6102
Mailing Address - Country:US
Mailing Address - Phone:469-294-9075
Mailing Address - Fax:469-294-9175
Practice Address - Street 1:7951 COLLIN MCKINNEY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7843
Practice Address - Country:US
Practice Address - Phone:469-294-9075
Practice Address - Fax:469-294-9075
Is Sole Proprietor?:No
Enumeration Date:2014-09-24
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36723103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX338544505Medicaid