Doctor Name: | DR. JEFFREY SCOTT SONNEGA |
NPI Number: | 1013321298 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 1459 |
Business Practice Address: | 98-1247 Kaahumanu St Aiea, HI - 967015311 |
Business Phone Number: | 8084875433 |
Business Fax Number: | |
Mailing Address: | 98-1247 Kaahumanu St, AIEA |
State: | HI |
Postal Code: | 967015311 |
Phone Number: | 8084875433 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2014 |
NPI Last Update Date: | 06/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |