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JOEL SONNICHSEN

Behavioral Health & Social Service Providers Psychologist School

Provider NPI: 1013464676

Provider Information:
 JOEL  SONNICHSEN 
Gender: M
Not Sole Proprietor

Practice Location:
201 E 38TH ST  SIOUX FALLS, SD 57105-5815 US
Tel: 605-367-7924  Fax: --

Business Mailing Address:
2219 S PHILLIPS AVE  SIOUX FALLS, SD 57105-3837 US
Tel: 605-367-7924  Fax: --

NPI Information:
NPI: 1013464676
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TS0200XBehavioral Health & Social Service Providers
Psychologist
School
SD69019-1
N174400000XOther Service Providers
Specialist
SD69019-1

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103TS0200X

Type:

Classification:



Definition:



MEDICAL JOBS SD - Page 1

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