Provider Demographics
NPI:1972937175
Name:SONENSHEIN, EMILY JEANNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:JEANNE
Last Name:SONENSHEIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 HARROGATE RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3129
Mailing Address - Country:US
Mailing Address - Phone:215-913-1195
Mailing Address - Fax:
Practice Address - Street 1:100 SOUTH BROAD ST.
Practice Address - Street 2:SUITE 1114
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19110-1024
Practice Address - Country:US
Practice Address - Phone:215-913-1195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-25
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017427103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical