Provider Demographics
NPI:1881184562
Name:ESONIS, SHARON SUSAN (PH D)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:SUSAN
Last Name:ESONIS
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3135 FERNCREEK LN
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-6744
Mailing Address - Country:US
Mailing Address - Phone:760-746-7001
Mailing Address - Fax:
Practice Address - Street 1:3135 FERNCREEK LN
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92027-6744
Practice Address - Country:US
Practice Address - Phone:760-746-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4582103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist