Provider Demographics
NPI:1861509069
Name:MEHLHOP, SONDRA JEAN (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:SONDRA
Middle Name:JEAN
Last Name:MEHLHOP
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:JEAN
Other - Last Name:MESCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4215 SPRING STREET
Mailing Address - Street 2:SUITE 325
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941
Mailing Address - Country:US
Mailing Address - Phone:619-462-2277
Mailing Address - Fax:619-462-2465
Practice Address - Street 1:4215 SPRING STREET
Practice Address - Street 2:SUITE 325
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941
Practice Address - Country:US
Practice Address - Phone:619-462-2277
Practice Address - Fax:619-462-2465
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPS412374103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist