Marla J Souder is a Clinical in Fort Wayne, Indiana. Marla J Souder practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marla J Souder is 1548420474. The last update date is 2023-03-02.
Marla J Souder's current location address is 11141 Parkview Plaza Dr Ste 210, Fort Wayne, Indiana. You can contact this provider via phone number 2602665400 and fax number 2602665409. The mailing address for Marla J Souder is 11141 Parkview Plaza Dr Ste 210, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marla J Souder |
|---|---|
| Address | 11141 Parkview Plaza Dr Ste 210, Fort Wayne, Indiana |
| Phone Number | 2602665400 |
| Fax Number | 2602665409 |
| Sole Proprietor | N |
| Credentials | PSY.D., HS |
NPI Number Detail
| NPI Number | 1548420474 |
|---|---|
| Provider Enumeration Date | 2008-06-13 |
| Last Updated Date | 2023-03-02 |
Provider Mailing Address Detail
| Address | 11141 Parkview Plaza Dr Ste 210 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451714 |
| Phone Number | 2602665400 |
| Fax Number | 2602665409 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20042225A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Marla J Souder by the Centers for Medicare & Medicaid Services (CMS)?
The Marla J Souder has been assigned the NPI (National Provider Identifier) 1548420474. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Marla J Souder is located?
The Marla J Souder is situated at the following address: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN, 468451714.
What is the area of specialization for Marla J Souder, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marla J Souder is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1548420474 assigned to Marla J Souder?
The Marla J Souder was issued its 1548420474 on 2008-06-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Marla J Souder most recently updated or revised?
The details related to Marla J Souder, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-02.
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