Provider Demographics
NPI:1669698429
Name:SONES, GITTELLE K (PHD, EDD)
Entity type:Individual
Prefix:DR
First Name:GITTELLE
Middle Name:K
Last Name:SONES
Suffix:
Gender:F
Credentials:PHD, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 N LINDEN DR
Mailing Address - Street 2:243
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2247
Mailing Address - Country:US
Mailing Address - Phone:310-246-1596
Mailing Address - Fax:310-446-0018
Practice Address - Street 1:462 N LINDEN DR
Practice Address - Street 2:243
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2247
Practice Address - Country:US
Practice Address - Phone:310-246-1596
Practice Address - Fax:310-446-0018
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY5330103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis