Provider Demographics
NPI:1629377197
Name:MUNSON, SONJA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:
Last Name:MUNSON
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 1:30 N RAYMOND AVE
Mailing Address - Street 2:# 214
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-3930
Mailing Address - Country:US
Mailing Address - Phone:626-233-7198
Mailing Address - Fax:
Practice Address - Street 1:30 N RAYMOND AVE
Practice Address - Street 2:# 214
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-3930
Practice Address - Country:US
Practice Address - Phone:626-233-7198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21068103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist