Individual
JUDITH LYNN SONNENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2801
Mailing address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G0643
BCBS
TX
01
—
8G0645
BCBS
TX
Enumeration date
06/04/2006
Last updated
07/08/2007
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