Provider Demographics
NPI:1982234837
Name:SONSONA, JOCELYN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:
Last Name:SONSONA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 S MARYLAND PKWY STE 501
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1568
Mailing Address - Country:US
Mailing Address - Phone:702-576-6011
Mailing Address - Fax:
Practice Address - Street 1:2770 S MARYLAND PKWY STE 501
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1568
Practice Address - Country:US
Practice Address - Phone:702-576-6011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-20
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth