Doctor Name: | SONIA MALDONADO |
NPI Number: | 1609147313 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 262026816 |
Business Practice Address: | 101 Maguey Court Suite 1 Sunland Park, NM - 88063 |
Business Phone Number: | 5755892400 |
Business Fax Number: | |
Mailing Address: | 9816 Goby, EL PASO |
State: | TX |
Postal Code: | 79924 |
Phone Number: | 9158736444 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2012 |
NPI Last Update Date: | 01/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 262026816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |