Provider Demographics
NPI:1295971380
Name:SOHN, ALAN T (EDD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:T
Last Name:SOHN
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 1/2 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1953
Mailing Address - Country:US
Mailing Address - Phone:215-968-8684
Mailing Address - Fax:215-860-9878
Practice Address - Street 1:26 1/2 S STATE ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1953
Practice Address - Country:US
Practice Address - Phone:215-968-8684
Practice Address - Fax:215-860-9878
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003344L103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral