Provider Demographics
NPI:1407972425
Name:SOHN, RICHARD K (PSYD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:K
Last Name:SOHN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 KNOLL ST
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1810
Mailing Address - Country:US
Mailing Address - Phone:213-234-8268
Mailing Address - Fax:
Practice Address - Street 1:5700 TENNYSON PKWY STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3595
Practice Address - Country:US
Practice Address - Phone:213-234-8268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 22299103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical