Individual
DR. SONYA GRACE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
140 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85338-1226
(602) 323-3344
(602) 323-8048
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
481819
—
AZ
Enumeration date
01/29/2019
Last updated
09/12/2019
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